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November 1935


Arch Otolaryngol. 1935;22(5):636-637. doi:10.1001/archotol.1935.00640030653011

Successful after-care of patients following radical mastoid operation presupposes a meticulously carried out bone dissection, with the roof straight out from the tegmen tympani and antri, no overhanging or otherwise obstructing bone, a mastoid cavity merging smoothly into the inner wall of the antrum, and a sloping floor with sufficient removal of the tip to have the same slope include it and the floor of the external canal. The facial ridge also should slope smoothly from the external (horizontal) canal and flatten into the slope of the floor. My own practice is to do nothing to the eustachian tube unless there is obvious necrosis, and to cleanse the tympanic cavity merely by wiping. If the curet is used it is only to lift out gently whatever débris may remain. As to the plastic operation, I prefer what is practically the Bondy, which is merely a splitting of the