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Fig. 3 | Journal of Otolaryngology - Head & Neck Surgery

Fig. 3

From: Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations

Fig. 3

The operative photos of right large TM perforation in a 32-year-old female patient. Preoperative total TMP (a). The perforation edges were refreshed and annulus was de-epithelialized (b). Cartilage graft was pushed into the EAC and middle ear; the cartilage notch was made for the malleus (c). The cartilage graft was placed medial to the annulus and remanent TM (d). The free perichondrium graft was placed lateral to the malleus, the annulus and exposed EAC (e).Black arrows indicates the perichondrium, red arrows indicates the cartilage and notch

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