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May 1959

Functional Microsurgical Procedure in Middle Ear for Chronic Purulent Otitis: Personal Technique

Author Affiliations

Milan, Italy

AMA Arch Otolaryngol. 1959;69(5):529-536. doi:10.1001/archotol.1959.00730030541002

Definition and Indications  The personal operative method we illustrate is indicated in chronic inflammatory processes of the middle ear, characterized by a perforated eardrum in the epitympanic posterior region; a limited and moderately active osteitis of the "bridge" or the attic can be present; absence of cholesteatoma and integrity of the ossicular chain are necessary.In such cases the hearing loss can be quite considerable, despite the lack of objective findings in the ear; this is due to the limitation of movements of the ossicular chain, because of articular ankylosis or blockage with scarry granulation tissue secondary to an osteitic process.The operative procedure we are illustrating permits access to the tympanic cavity and atticotomy; the tympanic cavity is reached by the retroauricular way, after the drum is detached, thus maintaining its preoperative condition. I apply the same technique as in functional surgical procedures for adhesive otitis, with the difference

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