Tympanoplasty After Radical Mastoid Operation

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Abstract
THE RADICAL mastoid operation completely destroys the structures of the middle ear and causes severe conduction deafness. One of the most difficult tasks of reconstructive middle ear surgery is to rebuild the sound-conducting apparatus of the middle ear after a radical mastoid operation. This paper describes the method that I use for this purpose. Every effort should be made to avoid the classical radical mastoid operation. I use it only exceptionally. There are, however, many patients on whom this type of operation was performed in the past. They need help especially if the operations were bilateral. Reconstruction Reconstruction after a previous radical mastoid operation involves two groups of problems. The Radical Cavity.—Although the need of regular check-ups makes the radical cavity a disadvantage for the patient, I do not think that obliteration of it is mandatory for two reasons. (1) The cavity itself does not interfere with good hearing,

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