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The author presents the historical development of the postauricular and endaural approaches to the mastoid process. The various incisions for these approaches are described in detail and the advantages and disadvantages of each enumerated.
Romanet believes that the endaural approach is the most advantageous and that there are no real contraindications to it. The main and only real disadvantage is that this approach requires complete surgical competence for complications ensue if it is poorly executed.
In the fenestration operation, if the malleus is to be preserved, as advocated by Sourdille, the postauricular approach is practically imperative.
Whenever the lesion is located in the attic, and in the attic only, the technic of Thies is advocated.
The subject is well presented, and the book is concise and contains a good outline of the various surgical approaches to the mastoid.
A Contribution to the Study of the Surgical Approach to the Attic By the Endaural Route (in French). Arch Otolaryngol. 1949;50(5):684–685. doi:10.1001/archotol.1949.00700010698021
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