THE FORMATION of a fistula lined with granulation tissue leading to the Eustachian tube after an otherwise nicely healed radical mastoidectomy with constant or intermittent discharge, according to the pathological condition of the nasopharynx, which only poorly responds to conservative measures is well known to every otologist. The idea of plugging the Eustachian tube in order to avoid this complication is an old one, and bone or muscle tissue have been used as plugging material.
With the present widespread experience with the nonirritating qualities of polyethylene deposited elsewhere in the organism, it was only natural to try this material for closing the Eustachian tube. In the Ear, Nose, and Throat Department of the Frederiksborg County Hospital (chief surgeon, K. Kettel, M.D.) I have been given the opportunity to try out the latter method in a series of radical mastoidectomies, the number of patients now totaling 30. Since February, 1950, this
SIEMSSEN SO. NEW METHOD OF PLUGGING THE EUSTACHIAN TUBE IN RADICAL MASTOIDECTOMY USING A POLYETHYLENE PROSTHESIS. AMA Arch Otolaryngol. 1951;54(5):473–474. doi:10.1001/archotol.1951.03750110009002
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