Appropriate Tympanic Membrane And Stsg Immobilization

Because the malleus handle is shortened or absent, it is difficult to anchor the fascia graft to this ossicle. To prevent laterization, the STSG should overlap the fascia graft by at least several millimeters and a Silastic button should be contoured to the circumference of the canal and placed on top of the new tympanic membrane. The Silastic button will also help maintain an anterior sulcus. The skin graft and fascia are further stabilized by Merocel wicks placed within the canal and hydrated with Cortisporin suspension.

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