Kaya, IsaSahin, Fetih FurkanHasan, Tanriverdi O.Kirazli, Tayfun2021-05-032021-05-0320210937-44771434-4726https://doi.org/10.1007/s00405-021-06646-3https://hdl.handle.net/11454/69660Background The slicing method that is used for thinning the cartilage graft may cause forming complications in tympanoplasty. Besides, double-layered grafting techniques may be required when graft medialization is observed. Method This article presents a new and controlled graft cartilage thinning and the cubism graft-harvesting technique in tympanoplasty. Conclusion Thanks to this new technique, over-curling and undesirable fractures of the cartilage island graft can be prevented and the obtained cartilaginous dust can be mixed with platelet-rich fibrin to form the cubism graft. This combined cartilage thinning and cubism graft technique provided 100% graft success and an average air-bone gap gain of 16.3 +/- 2.9 dB (10.7-22.3 dB) in our series of 22 patients. in conclusion, 100% graft success, successful tympanic membrane re-epithelialization and significant auditory improvement can be achieved with this method.en10.1007/s00405-021-06646-3info:eu-repo/semantics/closedAccessTympanoplastyCartilage graftCartilaginous dustPlatelet-rich fibrinCubism graftArticle278412891292WOS:0006167384000032-s2.0-8510110396533566177Q1N/A