Myringoplasty with a free graft from the external auditory canal.
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A simple method for office closure of eardrum perforation using an atero-collagen graft used for dermal defects (Terdermis) without fibrin glue was developed. Eardrum perforations were successfully closed in 71.4% of all cases (63 ears) after the initial treatment. Neither skin incision nor the use of temporal fascial grafts was necessary in this method. The merit of the method is that there is no possibility of blood infection because no blood materials are used.
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Cholesteatoma are specially localized in middle ear and mastoid process, although sometimes is the external ear canal which shows the disorder. Usually its a appearance is spontaneous. We report a rare case of gigantic cholesteatoma which origin was the previous otologic surgery done because of the inclusion of a bit of epithelial tissue inside the surgical incision. Similar outcomes justify periodical checking after ear surgery with outlining a tympanomeatal flap.
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