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JOSEPH B. NADOL, JR, MD
Boston

Arch Otolaryngol Head Neck Surg. 1987;113(8):811.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

At the recent meeting of the Eastern Section of the Triological Society, John F. Kveton, MD, Burlington, Mass, reported his observations concerning mastoid obliteration for trauma. Four patients who had sustained severe trauma of the temporal bone involving a fracture of the external auditory canal were treated by a total tympanomastoid obliteration using abdominal fat as a free graft. Although this procedure results in a maximal conductive hearing loss, it is proposed as a safe and reliable technique with which to close the middle ear and mastoid and to prevent spinal fluid leakage, meningitis, and cholesteatoma formation.

Total tympanomastoid obliteration for severe temporal bone trauma is clearly indicated when there is severe fracture dislocation of the middle ear and external canal; particularly when there has been total sensorineural loss due to cochlear fracture. This can be combined with repair of tegmental spinal fluid leaks, facial nerve exploration, or cable grafting . . . [Full Text PDF of this Article]

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