SINCE the fundamental principles of tympanoplasty were introduced by Wullstein and Zollner, surgery of the ear has been directed toward the restoration of function as well as providing a stabilized trouble-free ear. At the beginning, the techniques recommended were followed with only minor variations. The results obtained were not good. During the years which followed most efforts were made to change the types of graft and prostheses in order to improve the results. Throughout the late 1950's and early 1960's our results were discouraging as there seemed to be no basis on which to establish a prognosis for success of rehabilitative procedures. Moreover, it could not be determined before surgery which ear would heal quickly and remain free of infection.
It could be reasoned at that time that dry, stabilized ears were not being obtained because the surgery in a tympanoplasty was not as radical as necessary, leaving uncontrolled disease
Bellucci RJ. Basic Considerations for Success in Tympanoplasty. Arch Otolaryngol. 1969;90(6):732–741. doi:10.1001/archotol.1969.00770030734016
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