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December 1961

Musculoplasty and Temporal Bone Procedures

Arch Otolaryngol. 1961;74(6):677-681. doi:10.1001/archotol.1961.00740030690012

A program of evaluation of musculoplasty procedures in temporal bone surgery was started in September, 1960. The following report covers the first 25 procedures which were performed at the Los Angeles County General Hospital.

The postoperative care of mastoid cavities is a problem for both patients and surgeons. Several procedures have been used to eliminate or reduce the cavity. Early and complete healing of mastoidectomy and tympanoplasty is desirable. Kisch1 used muscle grafts in mastoid operations as early as 1932. Guilford and Wright2 have contributed much to eliminate the problems. Secondary skin grafting to promote healing was published in 1954. The same surgeons published in 1958 a technique for removal of mastoid tip,3 the use of diced cartilage chips and calf bone paste for partial obliteration. A large cavity can be made into a small cavity which heals more readily, and recurrent aural drainage is more likely