Middle Ear Surgery in Northern Europe

Modified technique of underlay myringoplasty

“…Many canal wall incisions were described in literature like Rosen's incision, Lampert 1 incision, 3 flap techniques, spiral incision by Ugo fisch. Palva 13 introduced his Swing Door Technique to enhance anterior visualization of the tympanum. Ralli et al, 14 used underlay anchored Myringoplasty which utilizes anterior and posterior tunnels to achieve proper tension of the tympanic membrane as well as lateral traction of the malleus handle.…”

Prospective study of 100 cases of underlay tympanoplasty with superiorly based circumferential flap for subtotal perforations

“…Palva (1963) [4] introduced his Swing Door Technique to enhance anterior visualisation of the tympanum. Ralli et al (2000) [5] used underlay anchored myringoplasty which utilizes anterior and posterior tunnels to achieve proper tension of the tympanic membrane as well as lateral traction of the malleus handle.…”

Fascia Temporalis as Tympanic Graft: A Swedish and German Story

“…As experience with this surgical area increases, however, it will be possible to present more clearly defined results regarding the use of this and other grafting material.” 14 Rapidly fascia became very popular. In 1963, “fascia proved very easy to manipulate, and it could be obtained from the initial incision in almost any quantity and thickness desired […] I should like to recommend fascial tissue for general use at tympanoplasty.” 15 In 1967, “temporalis fascia is the most satisfactory material we have used to date for tympanic membrane grafting.” 16 At the end of the 1960s, temporalis fascia was definitively installed as the main graft material for tympanic membrane reconstruction.…”