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Nine Years' Experience

Joachim Heermann, Jr., MD; Hans Heermann, MD; Ernest Kopstein, MD

Arch Otolaryngol. 1970;91(3):228-241.

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

EVEN iVEN with the best of techniques, in tympanoplasties in which several separate pieces of retroauricular skin (Wullstein, cited in Heermann and Heermann¹) are used as grafts, seldom does the tympanum heal without a perforation. And equally important, such transplanted skin has a marked tendency toward constant desquamation, later forcing the patients to seek repeated medical attention. Although such desquamation is not seen when only canal skin (Plester, cited in Heermann and Heermann¹) is used for the tympanoplasty, this leaves a defect in the epithelium of the auditory canal which in turn leads to difficult postoperative care and, at times, to obstinate stenosis. Moreover, while transplanted skin requires careful placement and depends largely on direct vascularization, fascia and cartilage can thrive for a long time on plasma alone² and can heal in any desired position, no matter how placed.

We first used temporalis fascia in 1958 to . . . [Full Text PDF of this Article]

Author Affiliations
Essen, Germany; Bethesda, Md

From the Krupp Hospital, Department of ENT, Essen, Germany.

Footnotes
Accepted for publication March 14, 1969.

Reprint requests to Department of ENT, Krupp Hospital, Wittekindstrasse 30-86, 43 Essen, Germany (Dr. J. Heermann).

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