Use of sclera in tympanic membrane reconstruction

Because of its high density, high tensile strength, and low antigenicity, sclera appears to be an appropriate grafting material for tympanic membrane reconstruction. I have used preserved donor sclera in 100 such cases over a three-year period with an overall success rate for complete closure of the perforation of 96%. Most of the procedures were done without hospitalization. The adults had local anesthesia; the children, general.