title: [Tympanic membrane perforation and tympanoplasty].
abstract: OBJECTIVE
  To report anatomic and physiologic characteristics of the tympanic membrane, to discuss the etiology and pathogenesis of tympanic perforation, and to discuss its management.
  
  
  METHODS
  After a review of the literature, different surgical techniques and the postoperative results were evaluated.
  
  
  RESULTS
  The rate of tympanic membrane closure is greater than 90% for the majority of authors. Age, mucosa inflammation, pathological contralateral ear (perforation, otitis media, cholesteatoma), and surgical experience influence this result.
  
  
  CONCLUSIONS
  Even if surgical results are good, abstention must always be proposed and all complications must be explained.
  
  
  CONCLUSIONS
  Palisade cartilage tympanoplasty is an effective technique for both tympanic membrane closures.
authors.affiliation: Service d'oto-neurochirurgie, hospices civils de Lyon, centre hospitalier Lyon Sud, 69495 Pierre-Bénite cedex, France. stephane.tringali@chu-lyon.fr
authors.forename: S
authors.initials: S
authors.lastname: Tringali
authors.forename: C
authors.initials: C
authors.lastname: Dubreuil
authors.forename: P
authors.initials: P
authors.lastname: Bordure
mesh_terms: D006801:Humans; D009225:Myringoplasty / Q000009:adverse effects; D014432:Tympanic Membrane / Q000033:anatomy & histology / Q000502:physiology / Q000637:transplantation*; D018058:Tympanic Membrane Perforation / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014433:Tympanoplasty