This page was last updated: September 10, 2007
Surgical Pictures of Tympanoplasty

Otolaryngology Houston

Bechara Y. Ghorayeb, MD
8830 Long Point, Suite 806
Houston, Texas 77055
For appointments, call 713 464 2614
Surgical Picture of Tympanoplasty, left ear.
The temporalis fascia graft has been placed under (medial to) the tympanic membrane. This is called "underlay technique", as opposed to  the "overlay technique", in which the fascia is placed over the drumhead (lateral).
Posterior left tympanic membrane perforation.
The promontory , the manubrium of the malleus and the incudo-stapedial joint are visible through this dry tympanic membrane perforation.