(3) Reconstruction of the posterior wall has been accomplished using a variety of materials, including cartilage (2) and temporalis fascia
. (3) Given our patient's extensive pneumatization, relatively discrete focal posterior wall defect, and intact tympanic membrane, we chose to reconstruct the posterior wall with tragal cartilage.
Autologous graft materials used in Myringoplasty include vein, fat, fascia lata, temporalis fascia
, periosteum, perichondrium and cartilage.
All disease was removed, the defect was smoothed with a diamond bur, and the canal was lined with temporalis fascia
Patients after canal wall down mastoidectomy surgery for cholesteatoma were reconstructed using septal cartilage and cortical mastoid bone grafts as strut in between temporalis fascia
graft and stapes suprastructure.
The tympanic membrane was grafted with temporalis fascia
The temporalis fascia
graft was placed by underlay technique and it was stabilised with gel foam in the middle ear and external auditory canal.
(28) A strip of temporalis muscle is elevated, split in two at its free edge, and elongated with strips of temporalis fascia
. The two strips are then tunneled through the upper and lower eyelid and sutured under appropriate tension to the medial palpebral ligament with nonabsorbable suture.
Surgical consideration approaches (Endaural, postaural), graft sources (Temporalis fascia
, cartilage graft, dura), placement of graft, associated mastoid operation (intact canal wall, canal wall down), ossiculoplasty also have a bearing on the success of surgery.
(1,2) If the bony defect in the EAC is small, the erosive bone can be saucerized with a diamond bur, and the area of the defect can be filled with a soft-tissue graft, cartilage, and temporalis fascia
. (1) If the adjacent anatomic structures (i.e., the mastoid, skull base, temporomandibular joint, and/or facial nerve) are damaged, a canal-wall-down mastoidectomy and obliteration are preferred.
These include temporalis fascia
, periostia, perichondria, cartilage, vein, and fat.
In the 2 previously reported cases of iatrogenic CSF rhinorrhea after septoplasty, both patients required surgery via an endoscopic approach to repair the CSF leak with temporalis fascia
. (1) In our case, spontaneous resolution was unexpectedly achieved with a simple maneuver, i.e., removal of the intranasal splints that had been inserted at the end of the septoplasty operation.
Exposed facial nerve segment was covered by temporalis fascia