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May 1967

Reconstruction of the Middle Ear With Fascia and Bone

Author Affiliations

From the Methodist Hospital, Texas Medical Center, Houston.

Arch Otolaryngol. 1967;85(5):492-496. doi:10.1001/archotol.1967.00760040494005

THIS PAPER will confine itself to a discussion of surgical problems in reconstructing deficiencies of the middle ear sound conduction system. There will be no mention of preoperative workup and of treatment and selection of patients, which are so important to success. We have already covered this rather fully1-3 in previous publications. However, we are all prone to slight this important area, and in our office we routinely go through a check list to make sure that each patient has a complete evaluation before surgery:

  • Ear drainage

    • Culture and sensitivity

    • Drainage controlled

  • Hearing tests

    • Air-bone gap adequate

    • Discrimination score adequate

  • Eustachian tube function

    • Politzerization

  • Examination of upper respiratory tract

    1. 1. Nasopharynx

    2. Nasal fossae

    3. Sinuses

    4. Allergy

  • Condition of the middle ear

    • Air space

    • Condition of middle ear mucosa

    • Squamous epithelium in middle ear

    • Tympanosclerosis (extent)

    • Mobility malleus

  • Mastoid x-rays

Tissues for Tympanic Grafting  Over the past 12

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