The KOH test procedure may be performed by a physician, nurse practitioner, physician assistant, medical assistant, nurse, midwife or medical laboratory technician. If fungal cultures are required, the test is performed by a technologist who specializes in microbiology.
Myringoplasty. Myringoplasty means surgery confined to the tympanic membrane itself. The middle ear bones (ossicles) are not touched and the tympanic membrane is not lifted from its position in the ear canal. Myringoplasty is most often performed in the office for small eardrum perforations.yringoplasty means surgery confined to the tympanic membrane itself. The middle ear bones (ossicles) are not touched and the tympanic membrane is not lifted from its position in the ear canal. Myringoplasty is most often performed in the office for small eardrum perforations.
The aim of the work was to report the efficacy of fat graft myringoplasty for small tympanic membrane perforations due to: trauma, infection, post tympanostomy tube extraction and post myringoplasty residual perforations.lthough fat graft myringoplasty is a simple, safe and cost-effective procedure, it has been underused despite its numerous advantages. 7 However, it cannot be always an alternative procedure to the classic surgical myringoplasty in every tympanic membrane perforation.