26 yr old female with a one yr history of lft tympanic membrane perforation has consented to have it repaired. a postauricular incision was made under general anesthesia. dissection was carried down to the temporalis fascia and 3x3 cm segment of fascia was harvested and satisfactorily desiccated. the tympanic membrane was excised. using a high speed drill a canaloplasty was performed until the entire annulus could be seen. the ossicular chain was examined it was found to be freely mobile. the previously harvested skin was trimmed and placed in the anterior canal angle with a slight overlapping over the temporalis fascia. packing is placed in the ear canal, external incisions are closed, and dressings are applied