What is the simplest, but least effective surgical method for the treatment of tympanic membrane perforation (TMP)?

Updated: Dec 14, 2020
  • Author: Robert A Saadi, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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The simplest, but least effective, method is to freshen the edges of the perforation and then apply a small patch of cigarette paper, providing a scaffold for regrowth. This technique was developed in the 1800s; it presumably remains in the repertoire because it sometimes works. Mechanical stripping of the perforation margin (with topical anesthetic or without) before applying the patch slightly increases the success rate.

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