In 1936 I1 published a preliminary report on a new technic for complete apicectomy. I desire here to establish the rationale of this technic and also to discuss the compelling requirements for such a procedure. The time has now arrived when surgical exenteration of the pathologic focus should replace drainage of the accumulated pus and be the goal of surgical intervention.
Petrositis is an inflammation of the petrous portion of the temporal bone, as mastoiditis is an inflammation of the mastoid portion of this bone, but, unlike the definitive term mastoiditis, the term petrositis is too broad and vague. From a surgical point of view the petrous pyramid differs from the mastoid process in that the former is crowded with vitally important anatomic structures. The term petrositis is meaningless to the otologist if he is to intervene surgically. In mastoiditis, even though the suppurative process may involve a small portion
LEMPERT J. COMPLETE APICECTOMY (MASTOIDOTYMPANO-APICECTOMY)A NEW TECHNIC FOR THE COMPLETE EXENTERATION OF THE APICAL CAROTID PORTION OF THE PETROUS PYRAMID. Arch Otolaryngol. 1937;25(2):144–177. doi:10.1001/archotol.1937.00650010166004
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