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Tympanoplasty After Radical Mastoid Operation

Tympanoplasty After Radical Mastoid Operation Abstract THE RADICAL mastoid operation completely destroys the structures of the middle ear and causes severe conduction deafness. One of the most difficult tasks of reconstructive middle ear surgery is to rebuild the sound-conducting apparatus of the middle ear after a radical mastoid operation. This paper describes the method that I use for this purpose. Every effort should be made to avoid the classical radical mastoid operation. I use it only exceptionally. There are, however, many patients on whom this type of operation was performed in the past. They need help especially if the operations were bilateral. Reconstruction Reconstruction after a previous radical mastoid operation involves two groups of problems.The Radical Cavity.—Although the need of regular check-ups makes the radical cavity a disadvantage for the patient, I do not think that obliteration of it is mandatory for two reasons. (1) The cavity itself does not interfere with good hearing, References 1. Wullstein, H.L.: Tympanoplasty Today , Arch Otolaryng 76:295-297, 1962.Crossref 2. Örtegren, U.: Myringoplasty: Four Years' Experience of Temporal Fascia Grafts , Acta Otolaryng , (suppl 193) , pp 1-43, 1964. 3. Heermann, J.: Erfahrungen mit frei transplantiertem Faszien-Bindegewebe des Musculus temporalis bei Tympanoplastik und Verkleinerung der Radikalhöhle. Knorpelbrücke vom Stapes zum unteren Trommelfelrand , Z Laryng Rhinol Otol 41:141-155, 1962. 4. Tabb, H.G.: The Surgical Management of Chronic Ear Disease , Laryngoscope 73:363-383, 1963.Crossref 5. Hall, A., and Rytzner, C.: Stapedectomy and Autotransplantation of Ossicles , Acta Otolaryng 47:318-324, 1957.Crossref 6. Hough, J.V.D.: Incudostapedial Joint Separation: Etiology, Treatment and Significance , Laryngoscope 69:1-21, 1959.Crossref 7. Zöllner, F.: Technik der Formung einer Columella aus Knochen , Z Laryng Rhinol Otol 39:536-540, 1960. 8. Sheehy, J.L.: Ossicular Problems in Tympanoplasty , Arch Otolaryng 81:115-122, 1965.Crossref 9. Bauer, M.: Bone Autograft for Ossicular Reconstruction , Arch Otolaryng 83:335-338, 1966.Crossref 10. Hall, A. and Rytzner, C.: Vitality of Autotransplantated Ossicles , Acta Otolaryng 52( (suppl 158) ):335-340, 1960.Crossref 11. House, W.F. and Glorig, A.: Criteria for Otosclerosis Surgery and Further Experiences With Round Window Surgery , Laryngoscope 70:660-669, 1960.Crossref 12. Heermann, J.: Zur Chirurgie des runden Fensters bei Otosclerose , Z Laryng Rhinol Otol 42:699-707, 1963. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Tympanoplasty After Radical Mastoid Operation

Bauer, M.
Archives of Otolaryngology , Volume 86 (4) – Oct 1, 1967
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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1967.00760050389007
Publisher site
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Abstract

Abstract THE RADICAL mastoid operation completely destroys the structures of the middle ear and causes severe conduction deafness. One of the most difficult tasks of reconstructive middle ear surgery is to rebuild the sound-conducting apparatus of the middle ear after a radical mastoid operation. This paper describes the method that I use for this purpose. Every effort should be made to avoid the classical radical mastoid operation. I use it only exceptionally. There are, however, many patients on whom this type of operation was performed in the past. They need help especially if the operations were bilateral. Reconstruction Reconstruction after a previous radical mastoid operation involves two groups of problems.The Radical Cavity.—Although the need of regular check-ups makes the radical cavity a disadvantage for the patient, I do not think that obliteration of it is mandatory for two reasons. (1) The cavity itself does not interfere with good hearing, References 1. Wullstein, H.L.: Tympanoplasty Today , Arch Otolaryng 76:295-297, 1962.Crossref 2. Örtegren, U.: Myringoplasty: Four Years' Experience of Temporal Fascia Grafts , Acta Otolaryng , (suppl 193) , pp 1-43, 1964. 3. Heermann, J.: Erfahrungen mit frei transplantiertem Faszien-Bindegewebe des Musculus temporalis bei Tympanoplastik und Verkleinerung der Radikalhöhle. Knorpelbrücke vom Stapes zum unteren Trommelfelrand , Z Laryng Rhinol Otol 41:141-155, 1962. 4. Tabb, H.G.: The Surgical Management of Chronic Ear Disease , Laryngoscope 73:363-383, 1963.Crossref 5. Hall, A., and Rytzner, C.: Stapedectomy and Autotransplantation of Ossicles , Acta Otolaryng 47:318-324, 1957.Crossref 6. Hough, J.V.D.: Incudostapedial Joint Separation: Etiology, Treatment and Significance , Laryngoscope 69:1-21, 1959.Crossref 7. Zöllner, F.: Technik der Formung einer Columella aus Knochen , Z Laryng Rhinol Otol 39:536-540, 1960. 8. Sheehy, J.L.: Ossicular Problems in Tympanoplasty , Arch Otolaryng 81:115-122, 1965.Crossref 9. Bauer, M.: Bone Autograft for Ossicular Reconstruction , Arch Otolaryng 83:335-338, 1966.Crossref 10. Hall, A. and Rytzner, C.: Vitality of Autotransplantated Ossicles , Acta Otolaryng 52( (suppl 158) ):335-340, 1960.Crossref 11. House, W.F. and Glorig, A.: Criteria for Otosclerosis Surgery and Further Experiences With Round Window Surgery , Laryngoscope 70:660-669, 1960.Crossref 12. Heermann, J.: Zur Chirurgie des runden Fensters bei Otosclerose , Z Laryng Rhinol Otol 42:699-707, 1963.

Journal

Archives of Otolaryngology – American Medical Association

Published: Oct 1, 1967

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