What determines if the dr uses paper or skin graft to repair a hole in ear drum? do u go through the ear canal or cut behind the ear? recovery time?

Perforations: Details of your specific case are important, but in general, small perforations can be attempted to be repaired with a paper patch on the office. Larger perforations, usually require a graft. It depends where the perforation is positioned to determine if an in-the-canal or post- auricular approach is used. Regardless, recovery is about a week of light activity and 3 weeks of dry ear precautions.