To improve the functional and audiological results of Tympanoplasty, Ring graft was created but with some difficulty during insertion the graft medial to the handle of malleous. As a trial to overcome this disadvantage, we created a novel graft: cartilage-perichondrium-composite crescent shaped graft, which is put later all to the handle of malleous  below the annulus ( underlay). It has the same functional and audiological results of the ring graft but with a shorter time, making it superior in tympanoplasty type one

Keywords: tympanoplasty, cartilage, ring, crescent.

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Haitham El-farargy

ENT Department, Alhayat National Hospital, Jizan, Saudi Arabia