Secondary Thiersch Grafting of the Radical Mastoid Cavity Through the Meatus

Daggett, W. I.; Bateman, G. H.

doi:10.1017/s0022215100039931

Cited by 12 publications

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“…Dagget et al described waiting 10 to 14 days, until granulation tissue appeared, before placing the graft. 18 This was done in an effort to prevent graft failure. All of the grafts in our study were placed at the time of the surgery.…”

Section: Discussionmentioning

confidence: 99%

Split‐thickness skin grafting in postmastoidectomy revision and in lateral temporal bone resection

Renton

Wetmore

2006

Otolaryngol.--head neck surg.

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Section: Discussionmentioning

confidence: 99%

Split‐thickness skin grafting in postmastoidectomy revision and in lateral temporal bone resection

Renton

Wetmore

2006

Otolaryngol.--head neck surg.

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“…I did not begin to use flat grafts applied to the orbital surface only until after their use had been suggested by various Continental surgeons. 5 My method of applying them is as follows : A graft is cut from the thigh and it is helpful if the skin from which the graft is to be taken is previously painted with collodion, as suggested for mastoid grafts, 6 as the edges of the graft do not then tend to curl. The graft is laid on the orbital tissues, one end up to the sinus and the other end down into the nose, whilst a portion extends backwards towards the sphenoid and forwards towards the skin incision.…”

Section: Fig Imentioning

confidence: 99%

Some Points in the Technique of the Fronto-Ethmoidal Operation

Howarth¹

1936

J. Laryngol. Otol.

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Variation of the Pedicle Flap for Epitheliation of the Radical Mastoidectomy Cavity

Ersner¹,

Myers²

1936

Archives of Otolaryngology - Head and Neck Surgery

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Our purpose in this communication is to report a new type of pedicle flap operation to be used in the epitheliation of the radical mastoidectomy cavity. This graft, in our opinion, is especially valuable in cases in which previous mastoidectomy has been performed and there is lack of epidermis. This variation in the technic, as far as we can ascertain by a careful search of the literature, has not previously been reported.The aim in the treatment of chronic suppurative otitis media, with or without cholesteatoma, is the production of a dry ear. If all attempts at conservative treatment fail, radical mastoidectomy is often employed. At times the radical surgical treatment must be carried out as an emergency procedure to forestall the development of intracranial complications or because of symptoms of labyrinthine involvement.One of the disadvantages of the radical operation is that even after its performance the surgeon is unable to assure his patient that a dry ear will be obtained. Many factors are responsible for this, which it is not within the province of this paper to discuss.It has been shown that healing in cases of chronic suppurative otitis media is in direct relation to the extent of epidermization by squamous epithelium, which is ectodermal in origin. This mechanism in the middle ear differs from the process of healing in other parts of the body. Elsewhere healing takes place by means of mesodermal tissue, which eventually becomes mature fibrous connective tissue. Squamous epithelium is nature's means of healing the middle ear. The cholesteatoma matrix is formed of squamous epithelial cells and is an attempt at healing. The foremost exponents of this theory have been

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Secondary Thiersch Grafting of the Radical Mastoid Cavity Through the Meatus

Cited by 12 publications

References 0 publications

Split‐thickness skin grafting in postmastoidectomy revision and in lateral temporal bone resection

Split‐thickness skin grafting in postmastoidectomy revision and in lateral temporal bone resection

Some Points in the Technique of the Fronto-Ethmoidal Operation

Variation of the Pedicle Flap for Epitheliation of the Radical Mastoidectomy Cavity

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