[Modern aspects of tympanoplasty. An overview].

The cholesteatoma should be removed with a canal wall down-technique in small mastoids. In patients with well or highly pneumatized temporal bones the reconstruction of the posterior canal wall is recommended after complete removal of the matrix. Myringoplasty is mainly performed using perichondrium. In highly damaged middle ears the cartilage palisade technique is indicated. The reconstruction of the ossicular chain performed using modern artificial materials.