Advances that have made possible the surgical miracles of today in many areas of the body have not been wanting in the field of otology. From the dark ages of a half century ago, when improper visualization of the temporal bone frustrated surgical efforts, we have come through a period during which anatomists laid an invaluable groundwork of knowledge of the temporal bone, and researchers in fringe areas have greatly broadened the spectrum of otologic surgery. Many who can look back over several decades of practice to their graduate school days can recall the surgical technique current for temporal bone pathology and the inadequacies of visualization under which surgery was accomplished. But, with the advent of the endaural approach together with the increased magnification made possible with the operative microscope, the otologist now has every surgical advantage to increase his ability to reach a correct diagnosis and by improved surgical
SNYDER GG. Paraganglioma of the Middle Ear and Mastoid. Arch Otolaryngol. 1961;73(1):54–63. doi:10.1001/archotol.1961.00740020058007
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