The technique of onlay sandwich grafting of tympanic membrane perforations
fashioned by the use of pedicle flap raised from the posterior deep meatal
skin and autologous temporalis fascia is described. The results of a series
of 124 ears operated between 1987 and 1999 are the basis of this report. O
f these 106 patients had myringoplasty for the first time. The operation wa
s successful in 102 (96.23 per cent) patients. Eighteen patients had revisi
on myringoplasty, with a successful result in 14 (77.78 per cent). None of
the patients developed complications usually associated with onlay grafting
. A preliminary report of this work was presented at the XVI World Congress
of Otolaryngology Head and Neck Surgery at Sydney in 1997.