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Eustachian Tube Patency in Tympanoplasty

J. BROWN FARRIOR, MD

Arch Otolaryngol. 1965;81(4):398-409.

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

The

Introduction

THE possibility of restoration of hearing in cases requiring a radical mastoidectomy is worthy of consideration when the eustachian tube remains patent, and there is bilateral conductive deafness. The removal of severe middle ear disease requires complete reepithelialization of the middle ear, the reconstruction of a new eardrum, and the reconstruction of a new conductive mechanism. Spontaneous reepithelialization of the middle ear occurs around Rambo's^1-4 paraffin implant; such spontaneous reepithelialization from the mucosal-lined tympanic orifice of the patent eustachian tube has given beautiful mucosal-lined middle ears as compared to disappointment with epithelial grafts to recreate a middle ear cavity. The reconstruction of the new eardrum, with a sandwich graft with an internal layer of temporal fascia and external layer of canal skin, has been almost uniformly successful, through a double coverage to all margins and the added internal vascularity preventing delayed central necrosis. This almost uniform success . . . [Full Text PDF of this Article]

Author Affiliations
TAMPA, FLA

From the Department of Otolaryngology, St. Joseph's Hospital and Tampa General Hospital.

Footnotes
Read before the Section of Otolaryngology, at the 113th Annual Meeting of the American Medical Association, San Francisco, June 22, 1964.

Submitted for publication June 16, 1964.

Reprint requests to Bayshore Blvd and Hyde Park Ave, Tampa, Fla 33606.

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