In recent times there has been a tendency to modify the technic of the radical mastoid operation. The modifications aim at the improvement of the final results, especial attention being given to the physiologic function of the ear. Many efforts have been made to diminish operative shock (von Eicken,1 Howarth and Bateman2 ), to establish better conditions for healing of the wound (Bockstein,3 Lempert4) and to improve the hearing after the operation (Guns,5 Tumarkin,6 Hastings7). The endaural approach to the mastoid process is one of the means used in order to reach this goal.
This method, used in the nineteenth century (Kessel, Hoffman) in isolated cases, received its greatest use after the war of 1914 to 1918. It was systematically applied by Thies8 in hundreds of cases. Certain other writers have applied it, with various modifications, in a great number of cases (Guns, Bourguet, Tumarkin, Howarth, Lempert, Bockstein).
MATIS EI. PRACTICAL POINTS IN TRANSCONCHAL RADICAL MASTOIDECTOMY. Arch Otolaryngol. 1941;33(2):177–192. doi:10.1001/archotol.1941.00660030180002
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