On Dec. 4, 1939, at a meeting of the Chicago Laryngological and Otological Society, we presented our experience with endaural mastoid surgery.1 At that time 39 endaural procedures were reviewed. The purpose of this report is to review our total experience with this method in our first 76 cases over the past eighteen months. Of these, 29 were cases of complete, or simple, mastoidectomy, 5 of atticomastoidectomy, or modified radical mastoidectomy, 41 of mastoidotympanectomy, or radical mastoidectomy and 1 of the fenestration operation for otosclerosis. personal supervision, after a course in cadaver technic and surgical demonstrations. No attempt will be made to present the actual technics of the operations except that of attico¬ mastoidectomy, since the other procedures have been fully described in Lempert's 2 presentation.
ENDAURAL COMPLETE MASTOIDECTOMYFor the purpose of simplifying our report we have abstracted in table 1 our records of the first 28 consecutive cases of endaural complete mastoidectomy we performed.In our experience there is no area of the mastoid which cannot be reached adequately by the endaural approach. Of the cases recorded in table 1, subperiosteal abscess or marked edema of the soft tissues was encountered in 12. This did not prevent the performance of a thorough mastoidectomy, which should be the primary requisite of all mastoid sur-1.
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