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April 1971

House-Dust Atophy and the House-Dust Mite

Arch Otolaryngol. 1971;93(4):445-446. doi:10.1001/archotol.1971.00770060637020

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The author of this monograph represents a new generation of otologists who, unhampered by "outmoded thinking and dogma," pursue new avenues in tympanoplasty. Dissatisfied with results obtained from conventional types III, IV, and V tympanoplasties, Betow claims to have developed new techniques which result in the complete restoration of a normal middle ear. He accomplishes this by homograft replacement of the ear canal skin, tympanic membrane, and ossicular chain. The homografts were tried in rabbits and humans and were successful in defects (created or existing) ranging from complete absence of the drum head to total loss of all ear bones.

The clinician who expects a step-by-step description and illustration of the operative techniques will be somewhat disappointed. This publication is of more value to the research-oriented otologist who will be interested in the literature review of transplantation in middle ear surgery and especially in the discussion of the histology of

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