Myringoplasty: the lateral graft technique with fascia

Grafting the tympanic membrane can be successfully accomplished by a number of techniques. The otologic literature is replete with descriptions of methods, materials, and results in myringoplasty. It is generally agreed that whatever method and materials are used to graft the tympanic membrane, the graft take-rate should be at least 90%. The key to obtaining a 90% take rate is not the technique employed, but how well the surgeon performs the technique. This article describes the lateral graft technique with fascia. This is the author's preferred myringoplasty procedure. When properly implicated, the lateral graft technique provides reproducible results in any pathologic condition. Excellent hearing and morphologic results can be obtained with few complications.