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British Medical Bulletin 43:940-949 (1987)
© 1987 The British Council

research-article

Development of surgery for conductive deafness during the past 25 years

G D L Smyth

Eye & Ear Clinic, Royal Victoria Hospital Belfast, Northern Ireland

Abstract

Better understanding of the physics and physiology of hearing, the introduction of antibacterial agents and the development of the operating microscope have combined in leading to a renewal of interest in the surgical treatment of hearing loss due to middle ear disease. Initially this development principally concerned patients suffering from otosclerosis but with the refinement of surgical and anaesthetic skills and instrumentation, coupled with an ever-increasing and precise knowledge of temporal bone anatomy, the application of reconstructive middle ear surgery has been extended to a broad spectrum of disorders affecting both middle and inner ear function. This chapter reviews recent advances in the surgical treatment of otosclerosis and chronic otitis media, and concerns principally lesions of the tympanic membrane and ossicular chain.


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