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Radical Mastoidectomy With Cavity Obliteration

Radical Mastoidectomy With Cavity Obliteration Abstract OBLITERATION of the radical mastoid cavity which has been adopted again extensively was already known to Mosher1 who, in 1911, made successful occlusions of the cavity utilizing a superiorly pedicled musculoperiosteal flap from the posterior wound margin of the postauricular incision. Later, Popper2 used a similar principle but with the flap pedicled anteriorly and attached at the posterior ear canal wall. We have employed the anteriorly pedicled musculoperiosteal flap routinely since 1961 in surgery for chronic ear disease.3 In addition, simultaneous reconstruction of the drum has been made with a fascial free graft which, together with the meatal skin and the muscle flap, has made up the posterior meatal wall. It is the purpose of the present study, besides recording changes in hearing, to obtain information as to the appearance of the ear canal after obliteration of the cavity and to find whether the cholesteatoma has recurred References 1. Mosher, H.P.: A Method of Filling the Excavated Mastoid With a Flap From the Back of the Auricle , Laryngoscope 21:1158-1163 ( (Dec) ) 1911. 2. Popper, O.: Periosteal Flap Grafts in Mastoid Operations , S Afr Med J 9:77-78 ( (Feb) ) 1935. 3. Palva, T.: Reconstruction of Ear Canal in Surgery for Chronic Ear , Arch Otolaryng 75:329-334 ( (April) ) 1962.Crossref 4. Palva, T.: Surgery of Chronic Ear Without Cavity , Arch Otolaryng 77:570-580 ( (June) ) 1963.Crossref 5. Palva, T.: Reconstruction of Ear Canal and Middle Ear in Chronic Otitis , Acta Otolaryng , (suppl 188) , pp 228-232, 1964. 6. Jako, G.J., and Jensen, C.: Conservative Tympanoplasty, supplement for Instruction Course 319, American Academy of Ophthalmology and Otolaryngology (Oct) 1966. 7. Sheehy, J.L., and Patterson, M.E.: Intact Canal Wall Tympanoplasty With Mastoidectomy: A Review of Eight Years' Experience , Laryngoscope 77:1502-1542 ( (Aug) ) 1967.Crossref 8. Rüedi, L.: Die Pathogenese und die Behandlung der Mittelohrcholesteatome , Mschr Ohrenheilk 99:153-159 ( (Aug) ) 1965. 9. Beales, P.H.: Cerebral Abscess After Obliterative Mastoid Operation , Arch Otolaryng 76:123-125 ( (Aug) ) 1962.Crossref 10. Adams, W.S.: A Case of Surgical Occlusion of Mastoid and Attic by Fascial Graft: Removal After Fourteen Years , J Laryng 75:935-938 ( (Oct) ) 1961.Crossref 11. Baron, S.H.: Preservation of the Cholesteatoma Matrix in the Modified Radical Mastoidectomy , Laryngoscope 77:905-911 ( (June) ) 1967.Crossref 12. Palva, T.; Palva, A.; and Dammert, K.: Middle Ear Mucosa and the Chronic Ear , Arch Otolaryng 87:3-11 ( (Jan) ) 1968.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Radical Mastoidectomy With Cavity Obliteration

Archives of Otolaryngology , Volume 88 (2) – Aug 1, 1968

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1968.00770010121001
Publisher site
See Article on Publisher Site

Abstract

Abstract OBLITERATION of the radical mastoid cavity which has been adopted again extensively was already known to Mosher1 who, in 1911, made successful occlusions of the cavity utilizing a superiorly pedicled musculoperiosteal flap from the posterior wound margin of the postauricular incision. Later, Popper2 used a similar principle but with the flap pedicled anteriorly and attached at the posterior ear canal wall. We have employed the anteriorly pedicled musculoperiosteal flap routinely since 1961 in surgery for chronic ear disease.3 In addition, simultaneous reconstruction of the drum has been made with a fascial free graft which, together with the meatal skin and the muscle flap, has made up the posterior meatal wall. It is the purpose of the present study, besides recording changes in hearing, to obtain information as to the appearance of the ear canal after obliteration of the cavity and to find whether the cholesteatoma has recurred References 1. Mosher, H.P.: A Method of Filling the Excavated Mastoid With a Flap From the Back of the Auricle , Laryngoscope 21:1158-1163 ( (Dec) ) 1911. 2. Popper, O.: Periosteal Flap Grafts in Mastoid Operations , S Afr Med J 9:77-78 ( (Feb) ) 1935. 3. Palva, T.: Reconstruction of Ear Canal in Surgery for Chronic Ear , Arch Otolaryng 75:329-334 ( (April) ) 1962.Crossref 4. Palva, T.: Surgery of Chronic Ear Without Cavity , Arch Otolaryng 77:570-580 ( (June) ) 1963.Crossref 5. Palva, T.: Reconstruction of Ear Canal and Middle Ear in Chronic Otitis , Acta Otolaryng , (suppl 188) , pp 228-232, 1964. 6. Jako, G.J., and Jensen, C.: Conservative Tympanoplasty, supplement for Instruction Course 319, American Academy of Ophthalmology and Otolaryngology (Oct) 1966. 7. Sheehy, J.L., and Patterson, M.E.: Intact Canal Wall Tympanoplasty With Mastoidectomy: A Review of Eight Years' Experience , Laryngoscope 77:1502-1542 ( (Aug) ) 1967.Crossref 8. Rüedi, L.: Die Pathogenese und die Behandlung der Mittelohrcholesteatome , Mschr Ohrenheilk 99:153-159 ( (Aug) ) 1965. 9. Beales, P.H.: Cerebral Abscess After Obliterative Mastoid Operation , Arch Otolaryng 76:123-125 ( (Aug) ) 1962.Crossref 10. Adams, W.S.: A Case of Surgical Occlusion of Mastoid and Attic by Fascial Graft: Removal After Fourteen Years , J Laryng 75:935-938 ( (Oct) ) 1961.Crossref 11. Baron, S.H.: Preservation of the Cholesteatoma Matrix in the Modified Radical Mastoidectomy , Laryngoscope 77:905-911 ( (June) ) 1967.Crossref 12. Palva, T.; Palva, A.; and Dammert, K.: Middle Ear Mucosa and the Chronic Ear , Arch Otolaryng 87:3-11 ( (Jan) ) 1968.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Aug 1, 1968

References

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