
MASTOID OBLITERATION
Frederick Guilford, MD
Herman Professional Bldg Houston 77025
Arch Otolaryngol. 1970;92(4):413.
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To the Editor.
—Thank you for the opportunity of previewing the article by Drs. Shea and Gardner entitled "Mastoid Obliteration Using Homograft Bone."
The use of homograft cancellous bone as an adjunct in obliteration of the cavity in previously operated patients with a residual radical cavity appears to have a great deal of merit. In those patients who have a cavity requiring repeated attention due to recurrent drainage and/or collection of squamous debris, this method may provide a useful addition to our armentarium. Presently the posterior wall can be reconstructed with cortical bone or cartilage, or the cavity can be successfully partially obliterated with postauricular musculofascial aponeurosis (not temporal muscle). The use of homograft cancellous bone may be a useful addition along with or in combination with these techniques when indicated.
Certainly a mastoid cavity is not an asset and should be controlled as far as size is concerned when
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