While the patient is deep asleep and pain-free, (general anesthesia), the surgeon grafts a small patch from the fascia of the forehead muscle (temporalis) onto the eardrum. This graft is used to repair the tear.
For problems with the small bones (ossicles), the surgeon will use an operating microscope to view and repair the chain of small bones using plastic devices or ossicles from a donor.
Update Date 10/13/2015
Updated by: Hebe Molmenti, MD, PhD, private practice specializing in Plastic and Reconstructive Surgery, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.