Otolaryngology Houston
Bechara Y. Ghorayeb, MD
1140 Business Center Drive, Suite 560 
Houston, TX 77043.
Phone: (713) 464 2614
www.ghorayeb.com
This page was last updated: April 24, 2014
Perilymph Fistula -  Middle Ear Exploration
(click to see movie)
The TORP has been removed. The fistula is seen in the oval window.  WATCH VIDEOCLIP
The fistula is sealed with temporalis fascia.
A titanium TORP is placed over the temporalis fascia.
Finally, a piece of tragal cartilage is placed between the TORP and tympanic membrane to prevent extrusion.