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September 26, 1908

THE MEATO-MASTOID OPERATION IN CHRONIC MASTOIDITIS.THE TECHNIC, RATIONALE AND INDICATIONS.

JAMA. 1908;LI(13):1062-1070. doi:10.1001/jama.1908.25410130018002b
Abstract

To Heath belongs the credit of attracting wide attention to a mode of operative technic which promises to supplant the radical operation in a considerable number of cases. The operations devised by Wolfe, Stacke, Körner and Heath are not identical, though they are in general similar.

I have called the operation as performed by me, the meato-mastoid operation, as it consists (a) in the removal of the posterior wall of the bony meatus as deep as the annulus tympanicus, and (b) the complete exenteration of the mastoid cells. The remnants of the membrana tympani and the ossicles are not disturbed (Fig. 1).

The technic is indicated in column two of the Comparative Table of Technic.

SPECIAL POINTS OF TECHNIC WHICH LARGELY INFLUENCE THE SUCCESS OF THE MEATO-MASTOID OPERATION.  The points to which attention is called, are: (1) The complete exenteration of the pneumatic cells in the temporal bone. (2) Shall

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