If a hole in the eardrum does not heal closed and a decision has been made to pursue repairing a hole in the eardrum (also known as tympanic membrane perforation), it is not uncommon for patients to get confused among the different surgical techniques used to fix it. There are 3 major "flavors" of eardrum hole repair. Paper patch: Paper patch technique involves putting a thin membrane (film paper, gelfoam, etc) OVER the eardrum hole. Medial or Underlay Tympanoplasty: In th…