Background: Traditional tympanoplasty techniques require graft placement and then supporting material (GelFoam) as a two-step process. Both steps potentially disrupt accurate graft placement leading to failure and persistence of the perforation.
Methods: We demonstrate a novel technique for graft preparation and placement using composite gelfoam/fascia in which the gelfoam and fascia are compressed into a common layer and applied to the perforation and drum remnant in a single step. Placement is ergonomically efficient and effective.
Conclusion: This novel modification of traditional graft preparation and placement is simple and ergonomically efficient.
Keywords: composite gelfoam/fascia graft; tympanoplasty.
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