Figure Legend
Figure 1:
  1. Preoperative anterior perforation
  2. Middle ear and ossicles assessed after elevation of tympanomeatal flap
  3. Barred cartilage placed in underlay fashion
  4. Perichondrium placed over barred cartilage as reinforcement
  5. Final position of the graft ensuring all tugged under the margin and anterior annulus
  6. Final graft uptake after 12 months of surgery