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February 1965

Ossicular Problems In Tympanoplasty

Author Affiliations

From the Otologic Medical Group; Assistant Clinical Professor of Otolaryngology, University of Southern California.

Arch Otolaryngol. 1965;81(2):115-122. doi:10.1001/archotol.1965.00750050122003

THE SURGICAL treatment of patients with chronic otitis media presents a challenge to the otologist. One of the major stumbling blocks has been reconstruction of the ossicular chain.

During the last few years the techniques for solving ossicular problems have stabilized to a large extent. The purpose of this paper is to present in detail procedures used by members of the Otologic Medical Group in reconstruction of the ossicular chain in tympanoplasty.

Aims of Tympanoplasty  Elimination of infection is the prime objective in tympanoplasty. Once the infection has been eliminated, there remain three aims:

  1. Avoid a cavity

  2. Reconstruct the ear drum in its normal location

  3. Reconstruct the ossicular chain

Why Reconstruction?  When tympanoplasty surgery was introduced in a systematic form by Wullstein1 and Zöllner,2 little attempt was made to reconstruct the ossicular chain. Rather, it was a matter of adaping the operation to the ossicular

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