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March 1956

Primary Grafting of Fenestration and Mastoidectomy Cavities: Additional Experience with Primary Grafting of Fenestration, Modified Radical and Radical Mastoidectomy Cavities

Author Affiliations

Houston, Texas

AMA Arch Otolaryngol. 1956;63(3):248-251. doi:10.1001/archotol.1956.03830090020004

In a previous report,13 results with 46 cases of radical mastoidectomy cavities were given by me and my associates. A dry epithelized cavity resulted in 9.3 weeks in primary skin-grafted cases as opposed to 25.6 weeks in the nongrafted control group. A technique for using a petrolatum ( Vaseline)paraffin gauze mold for "gloving" the split graft was presented. This technique facilitated placement of the graft and sealing of the Eustachian-tube orifice. In recent months, I have utilized immediate split-thickness grafting in 33 additional cases. In this group were 10 radical mastoidectomies, 8 modified radical mastoidectomies, and 15 fenestrations. Resulting early "dry ears" would further support the routine practice of primary grafting and tend to confirm the beneficial trend noted in the previous series.

Various authors have advocated the use of primary split-thickness grafting in recent writings. This procedure has been advocated by Farrior, Harris and Meadows, Jones, Harbert, Adin (who