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October 1962

Tympanoplasty Today: Large and Small Cavities, Closed Eustachian Tube, Combined Skin Grafts

Arch Otolaryngol. 1962;76(4):295-297. doi:10.1001/archotol.1962.00740050305003

Ten years have passed since tympanoplasty became known. Looking back, we can state that the theory of the audiological principles has proved to be right. And we must add, the surgical results very frequently, as far as this is possible, have met the theoretical requirements. The mean result, naturally, is less than the theoretical one because it is difficult to restore the ideal status of the middle-ear tissue, a point which would be essential for a normal threshold of hearing.

In this paper I would like to discuss a few problems concerning the surgical procedure. When performing a tympanoplasty we wish to reestablish (1) a completely healthy middle ear; (2) the functional reconstruction of the tympanum; and (3) a definitely dry external auditory canal or cavity, respectively.

To be as careful as possible with the function structures—epitympanum and ossicular chain—and also not to form a large mastoid cavity instead of

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