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July 1960


Author Affiliations

Albany, N.Y.
From the Department of Otolaryngology, Albany Medical College, and Abany Hospital.

Arch Otolaryngol. 1960;72(1):77-86. doi:10.1001/archotol.1960.00740010081015

Tympanoplasty refers to reconstruction of the tympanic cavity by means of a skin graft in patients with chronic otitis media or the defects resulting from it. The operation is designed to control disease and make the ear safe from complications, repair the drum, eradicate ear discharge, reestablish the sound conduction mechanism, and create a closed middle ear space, thereby improving hearing.

Antibiotics for a period of years following the war almost put an end to mastoid surgery, but today we are seeing an increasing number of persistent chronic draining ears. Systemic or local applications of antibiotics may temporarily dry up sepsis in chronic otitis, but generally they do not alter the over-all course. Surgery is still very necessary.

New Concepts  Tympanoplastic techniques have changed many of the concepts of middle ear disease. Surgery for extensive pathology previously resulted in a deafened ear, but this was considered by the patient and

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