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In opening this discussion, let me first ask the question, "Will there be a chance for tympanoplasty in the future?" Perhaps we see a lot of cases now, but they will disappear because there will be no more chronic ears.
Well, there may be something in this if you examine the United States and the happy situation that you are in as compared to your colleagues from the poorer countries of Europe, Africa, Asia, Japan, and so on. You will find that in these countries there is an immense interest in tympanoplasty—even more than in otosclerotic surgery—because up to now, the problem of chronic otitis media has been much greater in these badly developed countries than here, and there is an immense number of patients needing help of this sort.
However, I do not believe that cholesteatoma will disappear soon. There are causes of cholesteatoma which will continue even if we do not have the usual chronic draining ears. There will still be a need for tympanoplasty even under your good health conditions in this country.
WULLSTEIN H. Unsolved Problems of Tympanoplasty. AMA Arch Otolaryngol. 1960;71(3):588–597. doi:10.1001/archotol.1960.03770030230035
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