Abstract

A well known otolaryngologist once said, "The radical mastoid operation is a difficult one, but its after-treatment is even more difficult." One knows from experience that he meant: (1) the adequate control of the granulation process in the cavity, (2) the utmost care in order to accelerate and complete the epidermization process and (3) the avoidance both of adhesions and of formation of separated cavities. When there is a lack of epidermization due to a retardation of the epithelial production in certain parts of the cavity, the patient often has trouble for a lifetime. It is not the purpose of this article to describe all the methods which have been used to manipulate the healing process, but I should like to report a method which I have used in 43 cases, which has given me excellent success for many years. Before an attempt is made to carry out my treatment,

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