Abstract
The present paper deals with the experience of the author with myringoplasty with tragal peri-chondrial graft in 650 cases. Following conclusions were reached: 1. Delayed epithelisation of grafted tympanic membrance is seen in rainy season with external otitis and wrong placement of graft. It is facilitated with meatal skin grafting. 2. Acute middle ear infection is easily controlled and the peri-chondrial graft offers good resistence. 3. Epithelial pearls occur most commonly round the handle of malleus and should be excised. Inlay graft in cases with large perforation is recommended. 4. Rounding off of the anterior canal recess can be avoided by removing the anterior canal bulge, skin grafting and adequate packing of canal. 5. Lateralisation is often a displacement of graft rather than misplacement at surgery. 6. Thick opaque looking tympanic membrane may have fluid or cholesteatoma behind it and tympanotomy should be done in such cases.
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