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May 1969

The Use of Venous Homotransplant in Tympanoplasty

Author Affiliations

Candidate of Medical Sciences, Moscow
From the Clinic of Diseases of the Ear, Throat and Nose (Director, Active Member of the Academy of Medical Science of the USSR, Prof. B. S. Preobrazhenskii) Medical Faculty II of the Moscow Medical Institute founded by N. I. Pirogov.

Arch Otolaryngol. 1969;89(5):790-793. doi:10.1001/archotol.1969.00770020792024

At THE present time, tympanoplasty is a widely used operation. Although to completely implement it is difficult from a technical standpoint, nevertheless, regularly operating otologic surgeons, under correctly established conditions, almost always achieve improvements in hearing on the operating table. However, a no less complicated problem subsequently arises—the preservation of the reconstructed sound conducting apparatus in the course of the immediate postoperative period, and, above all, in the extended follow-up. Numerous dangers, such as a deterioration in the patency of the eustachian tube, an adhesion of the transplant with the promontory wall of the tympanic cavity, a recurrence of the inflammatory process, worsen the prognosis in tympanoplasty and result in a lowering of the observed postoperative hearing to 30% to 40%.

One of the basic problems facing the otologic surgeon performing tympanoplasty at the present time is the selection of the transplant. In this category, skin, muscle, fascia, mucous

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