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May 1962

Reevaluation of Results in Tympanoplasty: A Critical Survey of 250 Cases with Particular Regard to Speech Audiometry

Arch Otolaryngol. 1962;75(5):405-414. doi:10.1001/archotol.1962.00740040416005

Introduction  We have reported in an earlier paper (Pfaltz, Bonhôte, and Eggenschwiler, 1960) our previous experience with endaural tympanoplasty, covering 100 cases from the years 1957 and 1958. Two groups with different operative techniques were compared: firstly, those submitted to tympanoplasty according to the principles of Wullstein and Zöllner, and secondly, those in whom the so-called modified radical mastoidectomy was performed and completed by plastic closure of the tympanum by means of an epidermal graft. The superiority of tympanoplasty over the modified radical procedure was obvious from both functional and anatomical points of view.From recent relevant literature (G. portmann, M. Portmann, and Claverie, 1959; Proctor, 1960; Panel Discussion on Tympanoplasty, 1960; Reconstructive Middle Ear Surgery, A Workshop Held in Chicago, 1960), it appears that the late results of tympanoplasty cannot be called entirely satisfactory. This is true both of the discrepancy between the theoretically possible improvement in hearing and