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Total Tympanoplasty Type V: Eustachian Tube Patency in Tympanoplasty

Total Tympanoplasty Type V: Eustachian Tube Patency in Tympanoplasty Abstract The Introduction THE possibility of restoration of hearing in cases requiring a radical mastoidectomy is worthy of consideration when the eustachian tube remains patent, and there is bilateral conductive deafness. The removal of severe middle ear disease requires complete reepithelialization of the middle ear, the reconstruction of a new eardrum, and the reconstruction of a new conductive mechanism. Spontaneous reepithelialization of the middle ear occurs around Rambo's1-4 paraffin implant; such spontaneous reepithelialization from the mucosal-lined tympanic orifice of the patent eustachian tube has given beautiful mucosal-lined middle ears as compared to disappointment with epithelial grafts to recreate a middle ear cavity. The reconstruction of the new eardrum, with a sandwich graft with an internal layer of temporal fascia and external layer of canal skin, has been almost uniformly successful, through a double coverage to all margins and the added internal vascularity preventing delayed central necrosis. This almost uniform success References 1. Rambo, J. H. T.: Use of Paraffin to Create Middle Ear Space in Musculoplasty , Laryngoscope 71:612-619 ( (June) ) 1961.Crossref 2. Rambo, J. H. T.: Musculoplasty: New Operation for Suppurative Middle Ear Deafness , Trans Amer Acad Ophthal Otolaryng 62:166-177 ( (March) -April) 1958. 3. Rambo, J. H. T.: New Operation to Restore Hearing in Conductive Deafness of Chronic Suppurative Origin , AMA Arch Otolaryng 66:525-532 ( (Nov) ) 1957.Crossref 4. Rambo, J. H. T.: Further Experiences With Musculoplasty , AMA Arch Otolaryng 71:428-436 ( (March) ) 1960.Crossref 5. Farrior, J. B.: Ossicular Repositioning and Ossicular Prosthesis in Tympanoplasty , AMA Arch Otolaryng 71:443-449 ( (March) ) 1960.Crossref 6. Farrior, J. B.: Radical Mastoidectomy, Anatomical Considerations in Surgical Technique , Surg Gynec Obstet 89:328-334 ( (Sept) ) 1949. 7. Farrior, J. B.: Lymphoid Eustachian Salpingitis: Its Effect on Tubal Patency , AMA Arch Otolaryng 48:221-228 ( (Aug) ) 1948.Crossref 8. House, H. P.: Fenestration Operation, Survey of 500 Cases , Ann Otol 57:41 ( (March) ) 1948. 9. Shambaugh, G. E., Jr., and Juers, A. L.: Surgical Treatment of Otosclerosis: Preliminary Report on Improved Fenestration Technic , Arch Otolaryng 43:549, 1946.Crossref 10. Lempert, J.: Improvement of Hearing in Cases of Otosclerosis: New One-Stage Surgical Technic , Arch Otolaryng 28:42-97 ( (July) ) 1938.Crossref 11. Palva, T.: Surgery of Chronic Ear Without Cavity , Arch Otolaryng 77:570-580 ( (June) ) 1963.Crossref 12. Farrior, J. B.: Stapedectomy and Tympanoplasty: Part II. Tympanoplasty , Arch Otolaryng 76:227-232 ( (Sept) ) 1962.Crossref 13. Rambo, J. H. T.: Personal communication to the author, May, 1964. 14. Farrior, J. B.: Stapedectomy and Tympanoplasty: Part III. Mastoidectomy, Musculoplasty and Temporal Fascia Grafts , Arch Otolaryng 76:338-345 ( (Oct) ) 1962.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Total Tympanoplasty Type V: Eustachian Tube Patency in Tympanoplasty

Archives of Otolaryngology , Volume 81 (4) – Apr 1, 1965

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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1965.00750050409015
Publisher site
See Article on Publisher Site

Abstract

Abstract The Introduction THE possibility of restoration of hearing in cases requiring a radical mastoidectomy is worthy of consideration when the eustachian tube remains patent, and there is bilateral conductive deafness. The removal of severe middle ear disease requires complete reepithelialization of the middle ear, the reconstruction of a new eardrum, and the reconstruction of a new conductive mechanism. Spontaneous reepithelialization of the middle ear occurs around Rambo's1-4 paraffin implant; such spontaneous reepithelialization from the mucosal-lined tympanic orifice of the patent eustachian tube has given beautiful mucosal-lined middle ears as compared to disappointment with epithelial grafts to recreate a middle ear cavity. The reconstruction of the new eardrum, with a sandwich graft with an internal layer of temporal fascia and external layer of canal skin, has been almost uniformly successful, through a double coverage to all margins and the added internal vascularity preventing delayed central necrosis. This almost uniform success References 1. Rambo, J. H. T.: Use of Paraffin to Create Middle Ear Space in Musculoplasty , Laryngoscope 71:612-619 ( (June) ) 1961.Crossref 2. Rambo, J. H. T.: Musculoplasty: New Operation for Suppurative Middle Ear Deafness , Trans Amer Acad Ophthal Otolaryng 62:166-177 ( (March) -April) 1958. 3. Rambo, J. H. T.: New Operation to Restore Hearing in Conductive Deafness of Chronic Suppurative Origin , AMA Arch Otolaryng 66:525-532 ( (Nov) ) 1957.Crossref 4. Rambo, J. H. T.: Further Experiences With Musculoplasty , AMA Arch Otolaryng 71:428-436 ( (March) ) 1960.Crossref 5. Farrior, J. B.: Ossicular Repositioning and Ossicular Prosthesis in Tympanoplasty , AMA Arch Otolaryng 71:443-449 ( (March) ) 1960.Crossref 6. Farrior, J. B.: Radical Mastoidectomy, Anatomical Considerations in Surgical Technique , Surg Gynec Obstet 89:328-334 ( (Sept) ) 1949. 7. Farrior, J. B.: Lymphoid Eustachian Salpingitis: Its Effect on Tubal Patency , AMA Arch Otolaryng 48:221-228 ( (Aug) ) 1948.Crossref 8. House, H. P.: Fenestration Operation, Survey of 500 Cases , Ann Otol 57:41 ( (March) ) 1948. 9. Shambaugh, G. E., Jr., and Juers, A. L.: Surgical Treatment of Otosclerosis: Preliminary Report on Improved Fenestration Technic , Arch Otolaryng 43:549, 1946.Crossref 10. Lempert, J.: Improvement of Hearing in Cases of Otosclerosis: New One-Stage Surgical Technic , Arch Otolaryng 28:42-97 ( (July) ) 1938.Crossref 11. Palva, T.: Surgery of Chronic Ear Without Cavity , Arch Otolaryng 77:570-580 ( (June) ) 1963.Crossref 12. Farrior, J. B.: Stapedectomy and Tympanoplasty: Part II. Tympanoplasty , Arch Otolaryng 76:227-232 ( (Sept) ) 1962.Crossref 13. Rambo, J. H. T.: Personal communication to the author, May, 1964. 14. Farrior, J. B.: Stapedectomy and Tympanoplasty: Part III. Mastoidectomy, Musculoplasty and Temporal Fascia Grafts , Arch Otolaryng 76:338-345 ( (Oct) ) 1962.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Apr 1, 1965

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