title: Modified house tympanoplasty for successful closure of near-total tympanic membrane perforations.
abstract: OBJECTIVE
  To demonstrate the use of a modified House technique in the successful closure of near-total tympanic membrane perforations.
  
  
  METHODS
  This is a retrospective analysis over a 25-year span of the senior author's experience with a particular technique of closing large tympanic membrane perforations. The charts of patients were reviewed and the data were analyzed.
  
  
  METHODS
  The modified House technique combines an underlay graft placement with an advancement ear canal skin flap. It provides vascularization and subsequent early epithelialization of a large perforation.
  
  
  RESULTS
  In this series, the senior author operated on 46 patients. Forty-three patients had one ear operated on and three had bilateral surgery. The closure rate was 98% (48 of 49 ears). The one failure had a subsequent successful closure at a later date.
  
  
  CONCLUSIONS
  This is a simple endaural technique that guarantees successful closure of near-total tympanic membrane perforations using locally available tragal perichondrium.
authors.affiliation: Division of Otolaryngology, Department of Surgery, University of British Columbia, Vancouver, British Columbia.
authors.forename: Andris
authors.initials: A
authors.lastname: Blokmanis
authors.forename: Jason D
authors.initials: JD
authors.lastname: Archibald
mesh_terms: D001301:Audiometry, Pure-Tone; D004424:Ear Canal; D005205:Fascia; D006311:Hearing Disorders / Q000175:diagnosis; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016038:Skin Transplantation; D013524:Surgical Flaps; D013703:Temporal Muscle / Q000637:transplantation; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014432:Tympanic Membrane; D018058:Tympanic Membrane Perforation / Q000601:surgery*; D014433:Tympanoplasty / Q000379:methods*