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Bacteriology of Chronic Otitis Media: Results of Analyses From the Ear Canal and From the Operative Cavity

Bacteriology of Chronic Otitis Media: Results of Analyses From the Ear Canal and From the... Abstract SURGERY of the "chronic ear" has aroused considerable interest during the last few years, and many new techniques have been developed to obtain a more permanent and satisfactory end result by operative intervention. During the past decades, up to 1960, the general trend was to make an open mastoid cavity, possibly covered with Thiersch's grafts, full-thickness grafts, or left uncovered. Bacterial examination of the discharge was not considered absolutely essential since, even if the postoperative cavity became infected and remained so, there was a free outlet for discharge into the external meatus and out of the ear. During the last five years the attitude of ear surgeons has changed essentially owing to their discontent with open mastoid cavities. In most clinics particularly interested in ear surgery, the operation is now completed with reconstruction of the drum and meatus, and the mastoid cavity is excluded from meatal connection by various means. References 1. Schuknecht, H.: Panel on Surgical Approach, Cavity Management, and Postoperative Care in Ear Surgery , Arch Otolaryng 78:350, 1963.Crossref 2. Palva, T.: Reconstruction of Ear Canal in Surgery for Chronic Ear , Arch Otolaryng 75:329, 1962.Crossref 3. Palva, T.: A New Approach to Radical Surgery of the Chronic Otitis Media , Pract Otorhinolaryng 24:372, 1962. 4. Palva, T.: Surgery of Chronic Ear Without Cavity , Arch Otolaryng 77:570, 1963.Crossref 5. Palva, T.: Middle Ear Surgery in Northern Europe , Arch Otolaryng 78:363, 1963.Crossref 6. Palva, T.; Friedmann, I; and Palva, A.: Mastoiditis in Children , J Laryng 78:977, 1964.Crossref 7. Friedmann, I.: The Pathology of Otitis Media (III) With Particular Reference to Bone Changes , J Laryng 71:313, 1957.Crossref 8. Frieman, I.: The Pathology of Otitis Media , J Clin Path 9:229, 1956.Crossref 9. Ericsson, H.; Högman, C.; and Wickman, K.: A Paper Disc Method for Determination of Bacterial Sensitivity to Chemotherapeutic and Antibiotic Agents , Scand J Clin Lab Invest 6: ( (suppl 11) ), 1954. 10. Döderlein, W.: Die Organisationsvorgänge an den entzündlichen Exsudaten im Mittelohr , Arch Ohr Nas Kehlkopfheilk 79:1, 1920. 11. Krainz, W.: Untersuchungen über die Mastoiditis , Arch Ohr Nas Kehlkopfheilk 13:361, 1926. 12. Lange, W.: Die pathologische Anatomie der Mastoiditis , Arch Ohr Nas Kehlkopfheilk 20:3, 1928. 13. Singer, L.: Über entzündliche Erkrankungen des Mittelohres und der pneumatischen Hohlräume des Schläfenbeines , Arch Ohr Nas Kehlkopfheilk 32:130, 1933. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Bacteriology of Chronic Otitis Media: Results of Analyses From the Ear Canal and From the Operative Cavity

Archives of Otolaryngology , Volume 82 (4) – Oct 1, 1965

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1965.00760010361005
Publisher site
See Article on Publisher Site

Abstract

Abstract SURGERY of the "chronic ear" has aroused considerable interest during the last few years, and many new techniques have been developed to obtain a more permanent and satisfactory end result by operative intervention. During the past decades, up to 1960, the general trend was to make an open mastoid cavity, possibly covered with Thiersch's grafts, full-thickness grafts, or left uncovered. Bacterial examination of the discharge was not considered absolutely essential since, even if the postoperative cavity became infected and remained so, there was a free outlet for discharge into the external meatus and out of the ear. During the last five years the attitude of ear surgeons has changed essentially owing to their discontent with open mastoid cavities. In most clinics particularly interested in ear surgery, the operation is now completed with reconstruction of the drum and meatus, and the mastoid cavity is excluded from meatal connection by various means. References 1. Schuknecht, H.: Panel on Surgical Approach, Cavity Management, and Postoperative Care in Ear Surgery , Arch Otolaryng 78:350, 1963.Crossref 2. Palva, T.: Reconstruction of Ear Canal in Surgery for Chronic Ear , Arch Otolaryng 75:329, 1962.Crossref 3. Palva, T.: A New Approach to Radical Surgery of the Chronic Otitis Media , Pract Otorhinolaryng 24:372, 1962. 4. Palva, T.: Surgery of Chronic Ear Without Cavity , Arch Otolaryng 77:570, 1963.Crossref 5. Palva, T.: Middle Ear Surgery in Northern Europe , Arch Otolaryng 78:363, 1963.Crossref 6. Palva, T.; Friedmann, I; and Palva, A.: Mastoiditis in Children , J Laryng 78:977, 1964.Crossref 7. Friedmann, I.: The Pathology of Otitis Media (III) With Particular Reference to Bone Changes , J Laryng 71:313, 1957.Crossref 8. Frieman, I.: The Pathology of Otitis Media , J Clin Path 9:229, 1956.Crossref 9. Ericsson, H.; Högman, C.; and Wickman, K.: A Paper Disc Method for Determination of Bacterial Sensitivity to Chemotherapeutic and Antibiotic Agents , Scand J Clin Lab Invest 6: ( (suppl 11) ), 1954. 10. Döderlein, W.: Die Organisationsvorgänge an den entzündlichen Exsudaten im Mittelohr , Arch Ohr Nas Kehlkopfheilk 79:1, 1920. 11. Krainz, W.: Untersuchungen über die Mastoiditis , Arch Ohr Nas Kehlkopfheilk 13:361, 1926. 12. Lange, W.: Die pathologische Anatomie der Mastoiditis , Arch Ohr Nas Kehlkopfheilk 20:3, 1928. 13. Singer, L.: Über entzündliche Erkrankungen des Mittelohres und der pneumatischen Hohlräume des Schläfenbeines , Arch Ohr Nas Kehlkopfheilk 32:130, 1933.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Oct 1, 1965

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