Allograft tympanoplasty

Allograft tympanoplasty was once widely used across the world but is currently only performed by a limited number of surgeons in Belgium and Germany. Allograft tympanic membranes and ossicles are procured endoscopically nowadays and are processed in specific tissue banks subject to European Union regulations on human allograft tissue to ensure the receptor will receive quality-controlled tissue. The surgical procedure via retroauricular approach can teach us how we can manage difficult cases with total, subtotal and marginal perforations, but also cases of isolated pars tensa cholesteatoma.