Myringoplasty is the closure of the perforation of pars tensa of the tympanic membrane.
[1][2][3] When myringoplasty is combined with removal of scar tissue, it is called tympanoplasty.
An incision is made along the edge of the perforation and a ring of epithelium is removed.
An incision is made to raise medial meatal skin with tympanic membrane epithelium.
The graft is placed on the outer surface of the tympanic membrane and a slit is made to tuck it under the handle of the malleus.