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A type 1 tympanoplasty is synonymous to myringoplasty.
This may take the form of a paper patch to promote healing (a simple procedure by an ear, nose and throat specialist), or surgery (tympanoplasty).
In the case of a tympanoplasty, the skin flap will not lay down as the nitrous oxide will be diffusing into the middle ear.
Tympanoplasty Informed Consent - discusses risks of tympanoplasty & related procedures.