The concept of using increased intra-abdominal pressure to anatomically compress the urethra was proposed by Albert Aldridge in 1942, when he described using a fascial graft
to relieve SUI.
Various grafts have been used like split thickness skin graft, vein graft, temporalis fascial graft
, perichondrial graft, and perichondrium cartilage composite graft.
The problem associated with fascia is that, it may be difficult to precisely assess the final dorsal height due to unintentional over or under correction for the bulk of the fascial graft
. In addition, the morbidity of deep temporal fascia harvestings, such as local scar, and alopecia, should be considered.
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.