Abstract
Since the introduction of the concepts of tympanoplasty by Wullstein, Zollner, and others, surgery for inflammation of the middle ear has undergone a veritable revolution. Previously, the chronic discharging ear was permitted to continue on indefinitely or was subjected to a radical mastoid operation. If a conservative (modified) radical mastoidectomy was not feasible, the end-result was an ear seriously impaired in hearing. In analyzing the end-results of 80 radical mastoidectomies, however, the hearing loss was still found to be serious—49.9 db. The otologist was often confronted with the important decision of whether or not to advise a radical mastoid operation in an ear with good hearing when the opposite ear had decreased hearing. In such situations the tendency was to delay surgery until complications occurred or the hearing loss had significantly increased. We are now in a position to offer surgery for the control of middle ear cleft suppurations
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