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October 1971


Author Affiliations

162 East 71 St New York, 10021

Arch Otolaryngol. 1971;94(4):381. doi:10.1001/archotol.1971.00770070573023

To the Editor.—The following is a response to the editorial comment of Dr. H. Schuknecht on "Classification of Tympanoplasty" by Dr. J. Brown Farrior published in the June 1971 Archives.

Dr. Farrior referred to a classification reported in "Basic Considerations for Success in Tympanoplasty."1 Dr. Schuknecht has inferred that the classification of cases was incomplete. He illustrates this criticism by asking the question, "These groups must be more clearly defined; for example, into what group does one classify severe tympanosclerosis in a dry ear?"

The classification as published stresses the importance of recurrent and chronic middle ear infection derived as a result of eustachian tube and nasal pathology to the survival of the tympanoplasty. It is well established in the otologic literature and accepted by the majority of present day otologists that nasal and eustachian tube pathology are the important factors in the chronic middle ear infection and