Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

THE LEMPERT ENDAURAL, ANTAURICULAR SURGICAL APPROACH TO THE TEMPORAL BONE: SUGGESTED MODIFICATION OF THE TECHNIC IN TYMPANOMASTOIDECTOMY; REPORT OF FIFTY-FIVE CASES

THE LEMPERT ENDAURAL, ANTAURICULAR SURGICAL APPROACH TO THE TEMPORAL BONE: SUGGESTED MODIFICATION... Abstract Any operation should follow the route affording the best view of the surgical field, and that route should be as short as is compatible with due consideration for healthy tissue. The postaural incision is the direct approach to the mastoid process, but it gives a limited view of the middle ear. The approach through the external auditory canal leads directly to the tympanic cavity, but with the previously available methods it is practicable by this route to resect the cell system of the mastoid process only to a limited extent; besides, the field of vision is small, and the room for operative maneuvers limited. The Lempert endaural approach to the temporal bone offers the great advantage that the surgeon is enabled at once to resect any cell system, regardless of its extent, just as through the postaural incision, and at the same time to have a direct view of and References 1. Lempert, J.: Endaural, Antauricular Surgical Approach to the Temporal Bone , Arch. Otolaryng. 27:555 ( (May) ) 1938.Crossref 2. Babbitt, J. A.: Endaural Surgery of Chronic Suppurations , in Kopetzky, S. J.: Surgery of the Ear , New York, Thomas Nelson & Sons, 1938, p. 234. 3. Kettel, K.: Lempert's Endaural Approach to the Temporal Bone , Nord. med. (Hospitalstid.) 5:377, 1940. 4. Lund, R.: The Conservative Radical Operation on the Middle Ear and the Mastoid Process Carried Out Endaurally Without Incision of the External Ear, According to the Method of the Thies Brothers , Dansk otolaryng. Selsk. forhandl. , 1936-1937, p. 21. 5. Henner, R.: Experiences with Endaural Complete Mastoidectomy and Atticomastoidectomy , Arch. Otolaryng. 31:1022 ( (June) ) 1940. 6. Woodruff, G.: Observations on the Endaural Mastoidotympanectomy of Lempert , Arch. Otolaryng. 31:1024 ( (June) ) 1940. 7. Howarth, W., and Bateman, G. H.: The Endaural Approach to the Mastoid , Lancet 2:1168, 1938.Crossref 8. Shambaugh, G. E., Jr., in discussion on Lempert, J.: Improvement of Hearing in Otosclerosis: Report of Seventy-Three Cases , Arch. Otolaryng. 30:144 ( (July) ) 1939.Crossref 9. Galloway, T. C., in discussion on Wishart 10 and in discussion on Woodruff.6 10. Wishart, D. E. S.: The Endaural Route , Arch. Otolaryng. 31:218 ( (Jan.) ) 1940 11. Laryngoscope 49:943, 1939.Crossref 12. Archives of Otolaryngology (31:218 [ (Feb.) ] 1940). 13. Laryngoscope (49:943, 1939).Crossref 14. Babbitt, J. A., in discussion on Wishart.10 15. A man of 40 years had an acute exacerbation of chronic otitis media, cholesteatoma with labyrinthitis, and acute purulent diffuse meningitis. His spinal fluid had the appearance of milk, and contained uncountable cells. Labyrinthectomy was performed endaurally, after the method of Neumann. He died four days later, after temporary improvement. 16. Whiting, F.: The Modern Mastoid Operation , Philadelphia, P. Blakiston's Son & Co., 1905. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

THE LEMPERT ENDAURAL, ANTAURICULAR SURGICAL APPROACH TO THE TEMPORAL BONE: SUGGESTED MODIFICATION OF THE TECHNIC IN TYMPANOMASTOIDECTOMY; REPORT OF FIFTY-FIVE CASES

Archives of Otolaryngology , Volume 34 (3) – Sep 1, 1941

Loading next page...
 
/lp/american-medical-association/the-lempert-endaural-antauricular-surgical-approach-to-the-temporal-KNVWFL6xJV
Publisher
American Medical Association
Copyright
Copyright © 1941 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1941.00660040501003
Publisher site
See Article on Publisher Site

Abstract

Abstract Any operation should follow the route affording the best view of the surgical field, and that route should be as short as is compatible with due consideration for healthy tissue. The postaural incision is the direct approach to the mastoid process, but it gives a limited view of the middle ear. The approach through the external auditory canal leads directly to the tympanic cavity, but with the previously available methods it is practicable by this route to resect the cell system of the mastoid process only to a limited extent; besides, the field of vision is small, and the room for operative maneuvers limited. The Lempert endaural approach to the temporal bone offers the great advantage that the surgeon is enabled at once to resect any cell system, regardless of its extent, just as through the postaural incision, and at the same time to have a direct view of and References 1. Lempert, J.: Endaural, Antauricular Surgical Approach to the Temporal Bone , Arch. Otolaryng. 27:555 ( (May) ) 1938.Crossref 2. Babbitt, J. A.: Endaural Surgery of Chronic Suppurations , in Kopetzky, S. J.: Surgery of the Ear , New York, Thomas Nelson & Sons, 1938, p. 234. 3. Kettel, K.: Lempert's Endaural Approach to the Temporal Bone , Nord. med. (Hospitalstid.) 5:377, 1940. 4. Lund, R.: The Conservative Radical Operation on the Middle Ear and the Mastoid Process Carried Out Endaurally Without Incision of the External Ear, According to the Method of the Thies Brothers , Dansk otolaryng. Selsk. forhandl. , 1936-1937, p. 21. 5. Henner, R.: Experiences with Endaural Complete Mastoidectomy and Atticomastoidectomy , Arch. Otolaryng. 31:1022 ( (June) ) 1940. 6. Woodruff, G.: Observations on the Endaural Mastoidotympanectomy of Lempert , Arch. Otolaryng. 31:1024 ( (June) ) 1940. 7. Howarth, W., and Bateman, G. H.: The Endaural Approach to the Mastoid , Lancet 2:1168, 1938.Crossref 8. Shambaugh, G. E., Jr., in discussion on Lempert, J.: Improvement of Hearing in Otosclerosis: Report of Seventy-Three Cases , Arch. Otolaryng. 30:144 ( (July) ) 1939.Crossref 9. Galloway, T. C., in discussion on Wishart 10 and in discussion on Woodruff.6 10. Wishart, D. E. S.: The Endaural Route , Arch. Otolaryng. 31:218 ( (Jan.) ) 1940 11. Laryngoscope 49:943, 1939.Crossref 12. Archives of Otolaryngology (31:218 [ (Feb.) ] 1940). 13. Laryngoscope (49:943, 1939).Crossref 14. Babbitt, J. A., in discussion on Wishart.10 15. A man of 40 years had an acute exacerbation of chronic otitis media, cholesteatoma with labyrinthitis, and acute purulent diffuse meningitis. His spinal fluid had the appearance of milk, and contained uncountable cells. Labyrinthectomy was performed endaurally, after the method of Neumann. He died four days later, after temporary improvement. 16. Whiting, F.: The Modern Mastoid Operation , Philadelphia, P. Blakiston's Son & Co., 1905.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Sep 1, 1941

References