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Facts and fantasies in modern otology: the ear doctor's dilemma

Published online by Cambridge University Press:  29 June 2007

Gordon D. L. Smyth
Gordon D. L. Smyth
Affiliation:
Mr Alan Kerr F.R.C.S., Eye and Ear Clinic, Royal Victoria Hospital, Grosvenor Road, Belfast BTI2 6BA.
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Abstract

Until it is accepted that many of the recommendations for surgical treatment of middle ear disease, based on impressions formed twenty years ago, are misleading, attempts to rationalize the use of hospital resources will be little more than cosmesis. Responsibility for the initiation of cost-effective reform is primarily that of surgeons and requires urgent self-audit and the provision of realistic advice to patients (and administrators) as to what benefits microsurgery of the ear can offer.

Type
Toynbee Memorial Lecture 1992
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 7 , July 1992 , pp. 591 - 596
Copyright
Copyright © JLO (1984) Limited 1992

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References

Bemstein, J. M., Praino, M. D., Neter, E. (1988) Detection of endotoxin in ear specimens from patients with chronic otitis media by means of limulus amoebocyte test. Canadian Journal of Microbiology, 26: 645–648.Google Scholar
Browning, G. C., Gatehouse, S., Swan, I. R. S. (1991) A new method of reporting the benefit from middle ear surgery. Laryngoscope. 101: 180–185.CrossRefGoogle ScholarPubMed
Causse, J., Causse, J. B. (1980) Eighteen year report on stapedectomy. III: Post-operation complications. Clinical Otolaryngology, 5: 397–402.CrossRefGoogle Scholar
Fisch, U. (1982) Stapedotomy versus stapedectomy. American Journal of Otology, 4: 112–117.Google ScholarPubMed
Fowler, E. P. (1939) Medicine of the Ear, 1st edition. Thomas Nelson & Sons, New York, p. 179.Google Scholar
Gates, G. A., Avery, C. A., Prihoda, J. J., Cooper, J. C. (1987) Effectiveness of adenoidectomy and tympanostomy tubes in the treatment of chronic otitis media with effusion. New England Journal of Medicine, 317: 1444–1451.CrossRefGoogle ScholarPubMed
Ginsberg, I. A., Hoffman, S. R., White, T. P. (1981) Hearing changes following stapedectomy: A six year follow-up. Laryngoscope, 91: 87–92.CrossRefGoogle ScholarPubMed
Halik, J. L., Smyth, G. D. L. (1988) Long term results of tympanic membrane repair. Otolaryngology—Head and Neck Surgery, 98: 162–169.CrossRefGoogle ScholarPubMed
Jackson, C. (1930) The Nose, Throat and Ear and Their Diseases, W. B. Saunders Co., Philadelphia, p. 438.Google Scholar
Kerrison, P. D. (1923) Diseases of the Ear, 3rd edition, J. B. Lippincott Co. Philadelphia, p. 153.Google Scholar
Marquet, J. (1985) Stapedotomy technique and results. American Journal of Otology, 6: 64–67.Google ScholarPubMed
Maw, A. R. (1983) Chronic otitis media with effusion (glue ear) and adenoidectomy. Prospective randomized controlled trial. British Medical Journal, 287: 1586–1588.CrossRefGoogle Scholar
Paradise, J. L., Bluestone, C. D. (1988) Adenoidectomy and chronic otitis media (letter). New England Journal of Medicine, 318: 1470.Google Scholar
Paradise, J. L., Bluestone, C. D., Rogers, K. D. (1990) Efficacy of adenoidectomy of recurrent otitis media in children previously with tympanostomy tube placement: Results in parallel randomized and non-randomized trials. Journal of the American Medical Association, 263: 2066–2073.CrossRefGoogle Scholar
Sade, J., Luntz, M. (1991) Adenoidectomy in otitis media: A review. Annals of Otology, Rhinology and Laryngology, 100: 226–231.CrossRefGoogle ScholarPubMed
Sheehy, J. L., Glasscock, M. E. (1967) Tympanic membrane grafting with temporalis fascia. Archives of Otolaryngology, 86: 391–402.CrossRefGoogle ScholarPubMed
Sheehy, J. L., Crabtree, J. A. (1973) Tympanoplasty: Staging the operation. Laryngoscope, 83: 1594–1621.CrossRefGoogle ScholarPubMed
Smith, I. M., Maw, A. R. (1991) Secretory otitis media: a review of management by consultant otolaryngologists. Clinical Otolaryngology, 16: 266–270.CrossRefGoogle ScholarPubMed
Smyth, G. D. L. (1976) Post-operative cholesteatoma in combined approach tympanoplasty. Journal of Laryngology and Otology, 90: 597–602.CrossRefGoogle Scholar
Smyth, G. D. L. (1982) Practical suggestions on stapedotomy. Laryngoscope, 92: 952–953.CrossRefGoogle ScholarPubMed
Smyth, G. D. L. (1988) Surgical treatment of cholesteatoma: The role of staging in closed operations. Annals of Otology, Rhinology and Laryngology, 97: 667–669.CrossRefGoogle ScholarPubMed
Smyth, G. D. L., Hassard, T. H. (1978) Eighteen years' experience with stapedectomy: the case for the small fenestra operation. Annals of Otology, Rhinology and Laryngology, 87 (supplement 49).CrossRefGoogle ScholarPubMed
Smyth, D. G. L., Hassard, T. H., El Kordy, A. F A. (1980) Long term hearing performance after stapedectomy. Journal of Laryngology and Otology, 94: 1097–1105.CrossRefGoogle ScholarPubMed
Smyth, G. D. L., Patterson, C. C., Hall, S. (1982) Tympanostomy tubes: Do they significantly benefit the patient? Otolaryngology—Head and Neck Surgery, 90: 783–786.CrossRefGoogle ScholarPubMed
Smyth, G. D. L., Patterson, C. C. (1985) Results of middle ear reconstruction: Do patients and surgeons agree? American Journal of Otology, 6: 276–279.Google ScholarPubMed
Smyth, G. D. L., Hassard, T. H. (1986) Hearing aids post-stapedectomy: Incidence and timing. Laryngoscope, 96: 385–388.CrossRefGoogle Scholar
Toner, J. G., Smyth, G. D. L. (1992 a) Comparison of two methods of evaluating the hearing benefit of middle ear surgery. Journal of Laryngology and Otology, in press.Google Scholar
Toner, J. G., Smyth, G. D. L. (1992 b) Canal wall down tympanoplasty. American Journal of Orology, in press.Google Scholar
Vartiainan, E., Karja, J., Karjalainen, J., Harma, R. (1985) Failures in myringoplasty. Archives of Otorhinolaryngology, 242: 27–33.CrossRefGoogle Scholar
Watkyn-Thomas, F. W. (1953) Diseases of the Throat, Nose and Ear, H. K. Lewis & Co. Ltd., London, p. 577.Google Scholar