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February 1965

Progress Reports: Tympanoplasty

Author Affiliations


Arch Otolaryngol. 1965;81(2):206-210. doi:10.1001/archotol.1965.00750050213019

T RENDS IN surgery for chronic middle ear disease during 1963 center on avoiding continued suppuration from a mastoid bowl, improving grafting techniques, and developing new methods for restoration of a functioning ossicular chain. Early in 1963 the Second Workshop on Reconstructive Middle Ear Surgery was held in Chicago. The papers and panel discussion of topics carefully selected to cover various aspects of this surgery were published in the September and October, 1963, issues of the Archives of Otolaryngology.

Obliteration of the Mastoid Segment  Palva18 utilizes a postaural approach for obliteration. A musculoperiosteal flap fills the mastoid cavity. If the flap is too small, Gelfoam is placed behind it. Temporal fascia is placed beneath the tympanic membrane and lies between the muscle flap and canal wall skin. A similar technique is used by Rüedi.26 The muscle flap is left attached to the auricle. At completion of the middle

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