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RADICAL MASTOIDECTOMY WITH PRIMARY SPLIT-THICKNESS SKIN GRAFTING: Survey of Fifty Cases

RADICAL MASTOIDECTOMY WITH PRIMARY SPLIT-THICKNESS SKIN GRAFTING: Survey of Fifty Cases Abstract THIS SURVEY of 50 consecutive radical mastoidectomies is presented (1) to reveal certain features of the symptomatology and pathology connected with these chronic ear infections, (2) to emphasize certain parts of the skin-grafting technique, and (3) to present data on the healing time and the results obtained, with emphasis on the hearing before and after operation. Radical operations on these patients were performed only after careful consideration had been given to the possibilities of eliminating the pathology by some modified radical procedure. In several instances operations were started with a modified procedure planned only to discover pathology of a nature that required the more radical operation. SYMPTOMATOLOGY All 50 patients gave a history of longstanding pus discharge from the ear. Some patients had had the discharge for 40 years or more, and the persistent drainage, often with a foul odor, was usually the chief complaint. In many the hearing had References 1. Lempert, J.: Lempert Endaural Subcortical Mastoidotympanectomy for the Cure of Chronic Persistent Suppurative Otitis Media , Arch. Otolaryng. 49:20 ( (Jan.) ) 1949.Crossref 2. House, H. P.: Surgery of the Chronically Discharging Ear , Arch. Otolaryng. 49:135 ( (Feb.) ) 1949.Crossref 3. Farrior, J. B.: The Radical Mastoidectomy Anatomical Considerations in Surgical Technique , Surg., Gynec. & Obst. 89:328 ( (Sept.) ) 1949. 4. Zwerling, M. H.: Primary Skin Grafting of Radical Mastoidectomy Cavities with the Brown Electrodermatome , A. M. A. Arch. Otolaryng. 56:161 ( (Aug.) ) 1952. 5. Adin, L. E., Jr., and Corgill, D. A.: A New Method for Obtaining Eustachian Tube Closure at Tympanomastoidectomy , Tr. Am. Acad. Ophth. 57:602 ( (July) -Aug.) 1953. 6. Williams, M. L.: Use of a Single Conical Graft in Mastoid Cavities , Ann. Otol. Rhin. & Laryng. 62:652 ( (Sept.) ) 1953. 7. Harris, H. E., and Meadows, F. C.: Skin Grafts in Mastoid Cavities. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

RADICAL MASTOIDECTOMY WITH PRIMARY SPLIT-THICKNESS SKIN GRAFTING: Survey of Fifty Cases

A.M.A. Archives of Otolaryngology , Volume 61 (2) – Feb 1, 1955

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References (8)

Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1955.00720020165003
Publisher site
See Article on Publisher Site

Abstract

Abstract THIS SURVEY of 50 consecutive radical mastoidectomies is presented (1) to reveal certain features of the symptomatology and pathology connected with these chronic ear infections, (2) to emphasize certain parts of the skin-grafting technique, and (3) to present data on the healing time and the results obtained, with emphasis on the hearing before and after operation. Radical operations on these patients were performed only after careful consideration had been given to the possibilities of eliminating the pathology by some modified radical procedure. In several instances operations were started with a modified procedure planned only to discover pathology of a nature that required the more radical operation. SYMPTOMATOLOGY All 50 patients gave a history of longstanding pus discharge from the ear. Some patients had had the discharge for 40 years or more, and the persistent drainage, often with a foul odor, was usually the chief complaint. In many the hearing had References 1. Lempert, J.: Lempert Endaural Subcortical Mastoidotympanectomy for the Cure of Chronic Persistent Suppurative Otitis Media , Arch. Otolaryng. 49:20 ( (Jan.) ) 1949.Crossref 2. House, H. P.: Surgery of the Chronically Discharging Ear , Arch. Otolaryng. 49:135 ( (Feb.) ) 1949.Crossref 3. Farrior, J. B.: The Radical Mastoidectomy Anatomical Considerations in Surgical Technique , Surg., Gynec. & Obst. 89:328 ( (Sept.) ) 1949. 4. Zwerling, M. H.: Primary Skin Grafting of Radical Mastoidectomy Cavities with the Brown Electrodermatome , A. M. A. Arch. Otolaryng. 56:161 ( (Aug.) ) 1952. 5. Adin, L. E., Jr., and Corgill, D. A.: A New Method for Obtaining Eustachian Tube Closure at Tympanomastoidectomy , Tr. Am. Acad. Ophth. 57:602 ( (July) -Aug.) 1953. 6. Williams, M. L.: Use of a Single Conical Graft in Mastoid Cavities , Ann. Otol. Rhin. & Laryng. 62:652 ( (Sept.) ) 1953. 7. Harris, H. E., and Meadows, F. C.: Skin Grafts in Mastoid Cavities.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Feb 1, 1955

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