One piece of cranial bone was used to reconstruct the medial aspect of the lateral nasal wall in the region of the ascending process of the palatine bone; the other was placed slightly lateral to the first just under the fascial graft
that covered the skull base defect.
The squamous epithelium on the tympanic membrane remnant, along with the anterior canal wall skin and periosteum, are removed and trimmed; these are used either alone or with a perichondrial or fascial graft
, to reconstruct the tympanic membrane.
Tympanoplasty with the inferior fascial graft
technique and ossicular reconstruction.