With the introduction of newer technologies, the advent of antibiotics, and
improved surgical methods; the past 25 years have seen a great revolution,
refinement, and improvement of tympanoplastic procedures. Furthermore, the
methods of classification have been modified, The introduction of ossicula
r reconstruction with biocompatible implants greatly enhanced the success o
f type 3 tympanoplasty. This article reviews the classification, indication
s, surgical techniques, biomechanical properties, and expected hearing resu
lts of type 3 tympanoplasty.