It occasionally happens that after either a simple mastoid operation or after the radical operation for the relief of chronic suppurative otitis media, that an opening of considerable size remains behind the ear. Some operators advocate that such an opening be left in the majority of cases of radical operation for the the relief of chronic suppurative otitis media, in order that all parts of the middle ear may be freely open to inspection. As the radical operation is now performed, however, most surgeons prefer to close the posterior wound completely, and to secure all subsequent drainage through a sufficiently patent external meatus. It also occasionally happens that a permanent opening remains behind the ear in cases operated on for acute mastoiditis. This occurs only in those cases where the destruction of bone has been very extensive, and usually where, after the operation, large sequestra have been exfoliated. When these
DENCH EB. PLASTIC OPERATIONS FOR THE CLOSURE OF POSTAURAL OPENINGS FOLLOWING RADICAL AND MASTOID OPERATIONS. JAMA. 1904;XLIII(22):1607–1611. doi:10.1001/jama.1904.92500220001e
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