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November 1962

The Fat Graft in Middle Ear Surgery

Arch Otolaryngol. 1962;76(5):407-413. doi:10.1001/archotol.1962.00740050419005

The 3 objectives of modern ear surgery, namely, eradication of disease, reconstruction of the sound transmitting mechanism, and preservation of the normal anatomical contour, are achieved today through an adaptation of different surgical techniques to the pathology found at the primary operation.

A thorough examination of the patient, the extent of the disease and condition of the middle ear under magnification, the patency of the eustachian tube, and the cochlear function are essential in establishing the indications and contraindications to tympanoplasty and in the proper execution of the operation.

Several autogenous materials have been used in the reconstruction of the tympanic membrane, such as skin from different areas of the body, vein, and fascia. Other autogenous materials such as bone, muscle, and fat have been employed as "fillers" to obliterate the mastoid cavity.

The purpose of this paper is to present an evaluation of the use of adipose tissue in

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