ABSTRACT
Myringoplasty technique includes either an underlay or an only approaches using temporalis fascia or perichondrium as a graft material. Roland Eavy in 1998 descriped a transcanal cartilage butterfly inlay tympanoplasty technique in nine children under general anesthesia This technique was established to be successful to close ear drum perforations, easy and rapid with no external canal incisions. The aim of this study was to obtain our results with this technique. Tragal cartilage with double layer of perichondrium was used to close small to medium sized drum perforations in 30 adult patients with unilateral inactive chronic suppurative otitis media .The study was conducted in the period between February 2000 to October 2002.We evaluated the take rate and hearing improvement. The take rate was 100% at a follow up period of an average 18 months and all cartilage grafts were dry and intact at the last follow up period. All cases showed hearing improvement in. their audiometric results