Myringoplasty perforation and a small part should also extend over the posterior canal wall. The tympanomeatal flap is then replaced. The temporal fascia is harvested. An incision is made to raise medial meatal skin with tympanic membrane epithelium. The graft is placed on the outer surface of the tympanic membrane and a slit is made to tuck it under the handle of malleus. The ear is packed with gelfoam and antibiotics, and the incision is closed. Finally mastoid dressing is performed. Myringoplasty Myringoplasty is the closure of the perforation of pars tensa of the tympanic membrane. When myringoplasty is combined with
Biological membrane fatty acid composition in accordance with differing temperatures. In animal cells, membrane fluidity is modulated by the inclusion of the sterol cholesterol. This molecule is present in especially large amounts in the plasma membrane, where it constitutes approximately 20% of the lipids in the membrane by weight. Because cholesterol molecules are short and rigid, they fill the spaces between neighboring phospholipid molecules left by the kinks in their unsaturated hydrocarbon tails. In this way, cholesterol tends to stiffen the bilayer, making it more rigid and less permeable. For all cells, membrane fluidity is important for many reasons. It enables membrane