2014
DOI: 10.7162/s1809-97772013000200009
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A brief history of mastoidectomy

Abstract: Summary Aim: To describe to the new generation of otologists the origins of mastoidectomy as well as the difficulties our predecessors encountered and the solutions they devised to improve otologic surgery. Method: Retrospective literature review-based study. Results: Before the mid-19th century, mastoidectomy was performed only sporadically and in most cases as a desperate attempt to save the lives of people suffering from complications of infectious otitis. The drainage of acute abscesses became a common pro… Show more

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Cited by 23 publications
(14 citation statements)
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“…Knowledge of surgery to relieve mastoid process infection in the past is also rare. Despite documentation of mastoidectomies in clinical studies since the 16th century (Bento and Fonseca, 2013), only a few examples have been described in paleopathological literature (Table 1). The reasons why this is a reality are not very clear but the need for specific anatomical and surgical knowledge in the past, poor preservation of the frontal and maxillary bones and mastoid processes in archaeological contexts, or the lack of interest of anthropologists to investigate these particular cases in identified samples may be pointed out as possibilities.…”
Section: Introductionmentioning
confidence: 99%
“…Knowledge of surgery to relieve mastoid process infection in the past is also rare. Despite documentation of mastoidectomies in clinical studies since the 16th century (Bento and Fonseca, 2013), only a few examples have been described in paleopathological literature (Table 1). The reasons why this is a reality are not very clear but the need for specific anatomical and surgical knowledge in the past, poor preservation of the frontal and maxillary bones and mastoid processes in archaeological contexts, or the lack of interest of anthropologists to investigate these particular cases in identified samples may be pointed out as possibilities.…”
Section: Introductionmentioning
confidence: 99%
“…A clinical need for a non-invasive, anatomy-independent, and accurate means of anatomy localization and instrument navigation during lateral skull surgery has been reported from the early stages of standardized surgery in the lateral skull in the late nineteenth century and continuously since then ( 74 ). Methods have been sought in vain to reduce the risk of iatrogenic injury to anatomical structures, in particular, to the facial nerve ( 74 ). Over the last three decades, work on an image guidance-based solution has been carried out under continuous clinical evaluation.…”
Section: Discussionmentioning
confidence: 99%
“…In 1873, Schwartze defined the concept of a standard surgical procedure for mastoidectomy, recommending the use of a chisel and hammer to remove the bone in such a way that the antrum could be properly inspected and efficiently drained [ 1 ]. Bondy described the use of curettes and gouges in surgery [ 2 ]. As stated by Dhruv et al in their study mastoidectomy results in gross contamination of surgical site at 1 and 3 ft in all directions [ 3 ].…”
Section: Discussionmentioning
confidence: 99%