TRANSTYMPANIC APPROACH AND FENESTRATION: II. The Current Technic

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Abstract
THIS WORK was first published some two years ago in Great Britain and South Africa. Since then the transtympanic approach has been accepted and adopted in various overseas centers. This paper will endeavor to present in detail some refinements of technic. Needless to say, in any progressive science nothing is really final, and further refinements are sure to be incorporated as and when an ever larger number of surgeons perform this logical procedure. It becomes, however, increasingly necessary once more to state clearly the objectives and the scope of the transtympanic approach. The transtympanic approach has nothing whatsoever to do with fenestration. Fenestration happens to be a procedure for which this approach is eminently suitable. As will be shown later in this address, the transtympanic approach is ideal for the performance of an atticoantrostomy when the mastoid process is sclerotic and the infection is confined to the atticoantrotympanic region, as

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