Wullstein22 continues his important contributions to tympanoplasty with a discussion on indications and contraindications. Among the latter are: (1) possibility of damage to the inner ear with disease deep in the niches; (2) if only a 5 or 10 db. gain can be obtained at best by this surgery; and (3) in the event of surgery to the better hearing ear, tympanoplasty should be done only if it can be performed easily with excellent chances for success. It is perferable to operate on the ear with the poorer nerve function because it can never be assured that the inner ear will not be harmed.
Comment.—Indiscriminate use of tympanoplastic techniques are to be deplored, for it will tend to discredit a valuable otological procedure.
Among 385 cases of active chronic otitis media with central perforations, the ossicular chain was found intact by Goto4 in 233. Pathology was found in
PROCTOR B. Tympanoplasty: Progress Report for 1960. Arch Otolaryngol. 1961;74(3):354–357. doi:10.1001/archotol.1961.00740030361021
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: