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March 1949

MODIFIED RADICAL MASTOIDECTOMYPreservation of the Cholesteatoma Matrix; a Method of Making a Flap in the Endaural Technic

Arch Otolaryngol. 1949;49(3):280-302. doi:10.1001/archotol.1949.03760090039004

THERE IS little that can be said about the modified radical mastoidectomy (modified tympanomastoidectomy, atticomastoidectomy, semiradical mastoidectomy, Heath mastoidectomy, Bondy mastoidectomy) that has not been said before. All that has been written, however, has not produced uniformity in the treatment of patients who present chronic otorrhea.

While I was on active duty with the United States Navy and closely associated with a considerable variety of specialists, it occurred to me that the differences of opinion were more extreme than seemed reasonable. As examples: Dangerous types of suppurative otitis media were dallied with when surgical intervention was indicated; the radical mastoidectomy was done on nondangerous ears when local treatment should have been more persistent; the radical mastoidectomy was done when the modified radical mastoidectomy would have sufficed. These divergent views are responsible for the present discourse.

The literature is full of opposing points of view relative to the treatment and the

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