Tympanoplasty: medial grafting using Williams' microclips.
A technique for medial grafting that evolved in Alaska over a period of about five years has been used by the author at the Dartmouth-Hitchcock Medical Center for over two years. The technique is one whereby fresh temporalis fascia is placed medial to the tympanic membrane remnant and fastened to that remnant with stainless steel wire microclips. This technique has resulted in a success rate in excess of 94% in the Alaskan "bush." In a private practice setting, the success rate has been slightly better than 97%.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005205:Fascia / Q000637:transplantation; D006801:Humans; D008875:Middle Aged; D013525:Surgical Instruments; D014182:Transplantation, Autologous; D014433:Tympanoplasty / Q000379:methods*