Chronic Otitis Media and Mastoiditis
Palva and Pulkkinen2 (Turku, Finland) reported the hearing level obtained in 190 ears after atticoantrotomy. The series ran from 1954 to 1958 inclusive. In 91 cases a columella effect, Wullstein type 3, was aimed at by removing the incus and head of the malleus allowing the drum to adhere to the head of the stapes. The cases requiring only simple atticoantrotomy reached a serviceable hearing level, a 30 db. average for conversational tones, in 72% of the 99 cases. The cases done by the columella technique reached the serviceable level in 40% of the 91 cases. Rambo3 (New York) again outlined his method for obliteration of the large radical mastoid cavity by the use of temporal muscle flaps. He now uses a 2-stage procedure when he plans to do a later fenestration. He forms a mucosa-lined air space in the region of the
DYSART BR. Otitis Media and Complications: Summaries of the Bibliographic Material Available for 1960. Arch Otolaryngol. 1961;74(4):443–445. doi:10.1001/archotol.1961.00740030452016
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