Otology: myringoplasty: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Otology: myringoplasty

Sample item

In a dry ear with a central perforation of the pars tensa and a normal ossicular chain, what is the usual graft material and technique?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Temporalis fascia underlay graft

Myringoplasty most commonly uses autologous temporalis fascia placed medial to the drum remnant (underlay). The ear should be dry and the eustachian tube functioning. Cartilage grafts are used for large or retracted defects.

Option by option

  • A. Temporalis fascia underlay graft (correct)

    Correct. Temporalis fascia underlay is the standard.

  • B. Silastic sheet permanently

    Silastic is not permanent graft material.

  • C. Skin graft from the thigh

    Thigh skin is not used.

  • D. Cartilage placed in the canal

    Cartilage is used in selected difficult cases, not as the routine graft.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Temporalis fascia underlay graft. Myringoplasty most commonly uses autologous temporalis fascia placed medial to the drum remnant (underlay).

Why is "Silastic sheet permanently" not the answer?

Silastic is not permanent graft material.

Why is "Skin graft from the thigh" not the answer?

Thigh skin is not used.

Why is "Cartilage placed in the canal" not the answer?

Cartilage is used in selected difficult cases, not as the routine graft.

What concept does this question test?

It tests Otology: myringoplasty in ENT. The ear should be dry and the eustachian tube functioning. Cartilage grafts are used for large or retracted defects.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Otology: myringoplasty?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.