Abstract
I shall show by a series of statistics why my improved Thiersch graft is superior to all forms of tampon, in producing better hearing and in shortening the time of treatment as well as in being more comfortable for the patient. I shall also demonstrate from my own cases that reoperation is not at all necessary provided the work is thoroughly done. The reason for the improved hearing is easily understood when it is remembered that the graft is applied at the time of the first operation. In about eight or twelve days the graft will be loose and should not be lifted away until it is, because granulations will develop, the granulating surfaces producing a mechanical hindrance which impairs the hearing; while if the graft is lifted off and the underlying surface does not bleed, you can feel assured beyond a question of doubt that the new Table 1
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