TM and malleus - malleus is removed and TM graft is placed directly against the remaining portion of the malleus of the incus.The destructive process extends beyond the damaged tympanic membrane to include the malleus

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1. TM and malleus - malleus is removed and TM graft is placed directly against the remaining portion of the malleus of the incus.The destructive process extends beyond the damaged tympanic membrane to include the malleus