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Tympanoplasty of the left ear
Anterior central perforation. Use of chondral-perichondrium graft
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1. Otoscopic examination before commencing the operation. |
2. Retroauricular incision, elevation of the skin of the posterior wall of the external auditory canal. View of the perforation. |
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3. Refreshing the perforation margins with a curved needle. |
4. Refreshing the mucosal surface of the tympanic membrane with a round knife. |
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5. Enlarging the posterior wall of the external auditory canal. |
6. Elevation of the remnant of the tympanic membrane with a round knife. |
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7. Entering the tympanic cavity. View of the malleus, the chorda tympani, and the incudostapedial joint. |
8. Elevation of the tympanic membrane from the malleus handle. |
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9. Elevation of the tympanic membrane from the tympanic annulus. |
10. Placement of the chondral- perichondrium graft received from the auricle (view of the cartilage). Tympanoplasty type I. |
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11. Repositioning the remnant of the tympanic membrane to cover the graft. |
12. The final view of the tympanoplasty. |
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13. Supporting the tympanoplasty with pledgets of absorbable material. |
