摘要: There has been renewed interest in the use of cartilage for middle-ear reconstructions. The aim present review is to examine indications, techniques and surgical outcomes tympanoplasties reported literature. have concerns regarding weakening struts, from histological studies involving explants; as a result, struts ossiculoplasty not gained popularity. On other hand, tympanoplasty now an established procedure tympanic membrane attic reconstruction. commonest involve palisades composite cartilage-perichondrial island grafts. are many variations on shape, size thickness perceived benefit prevent retraction pockets at grafted site, even though otologists accept that this technique may deal with causal factors involved process. Concerns stiffness mass grafts adversely affect hearing substantiated clinical reports thus far.