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September 1955

A MODIFICATION OF THE ENDAURAL INCISION: A Technique Which Provides a Pedicle Skin Graft for the Lining of the Mastoid Cavity in Surgery of the Temporal Bone

Author Affiliations

Department of Otorhinology, Temple University School of Medicine, and Department of Otorhinology ENT Service No. 1, Albert Einstein Medical Center, Southern Division.

AMA Arch Otolaryngol. 1955;62(3):326-330. doi:10.1001/archotol.1955.03830030092018

The purpose of this report is to describe a modification of the endaural incision originally described by Lempert.* In our hands, this has helped to prevent postoperative atresia of the external meatus, and it has provided a pedicle flap or graft that covers a good part of the newly created mastoid cavity and thus results in rapid epithelization and postoperative healing.

It has been our observation, and that of others (Whitaker and associates4), that the contracture which closes the newly created external meatus occurs at the inferior-posterior portion, rather than at the superior portion of the canal. It is in the inferior part of the canal over the broad remnants of the facial ridge (lowered posterior canal wall) that a dense bed of granulation tissue forms. When this area finally heals and contracts, a broad bed of scar tissue is present, which frequently produces narrowing of the canal when

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