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July 1956

Primary Skin Grafting of the Fenestra and Fenestration Cavity: Early and Late Results

Author Affiliations

From the Department of Otolaryngology, North-western University Medical School and the Chicago Wesley Memorial Hospital.

AMA Arch Otolaryngol. 1956;64(1):46-49. doi:10.1001/archotol.1956.03830130048006

Several years ago our attention was directed toward the possible advantages of primary skin grafting of the fenestra and fenestration cavity. The purpose of covering the fenestra with a split-thickness skin graft, instead of the usual Sourdille pedicle flap, was to reduce bleeding and exudation into the labyrinth with resultant serous labyrinthitis. The purpose of skin-grafting the fenestration cavity was to hasten epidermization and diminish the frequency and duration of postoperative treatments.

In 88 fenestration operations, most of them consecutive during the last three months of 1953, our usual technique was modified in this manner. Now that more than two years have elapsed, it is time to examine the results with a similar series of cases operated on immediately preceding this modification by our usual technique. Before reporting this comparative study of results we should make mention of the background which prompted use of primary skin grafting of the fenestra

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