Myringoplasty a 4-Year Series Reviewed 2 Years After Operation

Fascia Temporalis as Tympanic Graft: A Swedish and German Story

“…We found, among other things, that fascia would probably be a more suitable graft tissue for myringoplasty […] series operated upon with fascia during 1957 to 1961 […] It was thus found: that fascia is superior to skin as a graft material for myringoplasty." 6 The same year, 7 Örtegren finalized his experiments with fascia temporalis in publishing his thesis entitled Trumhinneplastik med Fascia.…”

“…Technically, the graft had to be about 50% larger than the "surface it is to cover." 6 "Trommelfellplastik mit Fasciengewebe" in German…”

“…Fascia seems to fulfill these desires […] With this short report, I have only wanted to announce that we have found fascia transplants in tympanic membranes to be a valuable complement to already existing forms of transplantation.” 5 In 1964, Örtegren reported about his first results: “In 1957 we therefore tried to find a more reliable form of transplantation. A preliminary report of the results achieved was published in ‘Forhandlingar i Svensk Otolaryngologisk Forming 1958-1959.’ We found, among other things, that fascia would probably be a more suitable graft tissue for myringoplasty […] series operated upon with fascia during 1957 to 1961 […] It was thus found: that fascia is superior to skin as a graft material for myringoplasty.” 6 The same year, 7 Örtegren finalized his experiments with fascia temporalis in publishing his thesis entitled Trumhinneplastik med Fascia .

Figure 1.Urban Örtegren (Courtesy of Dr Bengt Ohlander).

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“…Between 1957 and 1961 Örtegren operated, referring to Wullstein’s and Zöllner’s conventional methods of tympanoplasty with the graft placed “on the site of transplantation,” 92 patients for chronic otitis, 90 of them being followed for 2 years. In 78 patients, “the graft has taken” and in 12, “it had perforated.” Technically, the graft had to be about 50% larger than the “surface it is to cover.” 6…”