This new access to solve the problem of tympanoplasty attacks the diseased area of the middle ear opening it directly and completely. It offers the absolutely unhindered approach to the most dangerous area of pathology, mainly the “anterior point of danger.” The retrotympanic spaces, if not affected, as in the majority of cases, may remain closed. But with the same approach, surgery may be enlarged all over the mastoid without touching the posterior wall of the external meatus. The procedure ends with complete reconstruction of the middle ear and the outer canal. Results in hearing are good. The method is in general use at the Department since 1970.
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