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Dr. Kettel, Hillerød, Denmark: I have admired two of Dr. Crabtree's operations, and I disagree completely when he says they were not especially difficult. I think they were very difficult to do and a great advance in otological surgery, especially for cases of fractures of the skull. I think that in those cases of transverse fractures where the skull, the cochlea, and the semicircular canals are completely broken, the facial nerve is very often injured in the internal acoustic meatus, and translabyrinthine approach is the right approach for such cases.
I also admire the operation in Professor Miehlke's clinic. I saw the patient whose pictures we have seen here, and I can assure you that the result was good. I would like to add that if acoustic tumors are so large that the facial nerve must be sacrificed, then Dott's operation is the only answer. If, however, we could arrive
DISCUSSION. Arch Otolaryngol. 1965;81(5):508. doi:10.1001/archotol.1965.00750050521018
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