The history of temporal bone surgery, as recorded in the literature, is punctuated with many articles referring to the problem of permanent closure of the Eustachian tube. The number of articles pays tribute to the observation that Kahn1 made 30 years ago to the effect that "the Eustachian tube is a bugbear. It is almost impossible to close off." Among the many methods advocated, bone grafting is one of the oldest2 and most widely accepted. During the past three years I have employed a simplified technique for bone grafting, which has to date given very good results.
The bone dust produced while removing the healthy superficial aspect of the cortex with an electrically driven bur is saved and moistened with enough saline to make thick "mud." The Eustachian tube is carefully curetted and every vestige of mucosa removed. Curved dental scalers (Figure, A and B) that have
ARMSTRONG BW. A Simplified Technique for Bone Grafting the Eustachian Tube in Radical Mastoidectomy. AMA Arch Otolaryngol. 1958;67(2):226–227. doi:10.1001/archotol.1958.00730010232017