Homologous dura use in problem pocket repair

Recently the author has noted that the use of dura results in a neo-drum, seemingly more resistant to posterior-superior quadrant retraction than autologous temporalis fascia. This presentation, 25 ears representing 22 patients with follow-up between 26 and 41 months, reflects the particular use now assigned to homologous dura in drum and adjacent area repair; namely, the posterior-superior quadrant and attic. The present use follows disappointment with previous drum repair attempts which in time seemed to be fruitless because progressive retraction with adhesions redeveloped. In a substantial way the use of dura as discussed in this paper is very similar to the use of autologous cartilage as reported by Glasscock with regard to recurrent retraction tendencies.