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Biomedical subjects

V Goodhill

Publications and source records attributed to V Goodhill.

At least 19 recordsLinked to original sources

The fate of an ossicular allograft in tympanoplasty.

Correction of ossicular defects in tympanoplasty most commonly involves the use of commercially available prostheses or preserved allograft ossicles. Incus autografts and tragal cartilage autografts are also used by many surgeons. Presculptured preserved allograft ossicles have not been used widely, but are used almost exclusively by our clinic. The fate of ossicular grafts has been reported by a number of in investigators with evidence obtained at revision surgery. In this paper we will be able to trace the fate of a presculptured preserved autograft ossicle clinically and pathologically. The unique aspect of this study is the demonstration of the ossicular status in post mortem temporal bone dissection followed by histopathological serial section studies.

Aged

Joseph Toynbee Memorial Lecture, 1976. Tympanoplasty--four heterodox techniques.

Polarization between proponents of intact canal wall tympanoplasty and radical (modified) mastoidectomy in the treatment of cholesteatoma and other irreversible temporal bone lesions can be avoided in many cases by the use of one or more special techniques. These include (a) Gelfilm (no-graft) induction of tympanic membrane regrowth; (b) the use of tragal cartilage and perichondrium in columellization and in Type III neomyringostapediopexy; (c) the use of laboratory-prefabricated ossicular homografts to correct malleal-capitulum and malleal-footplate discontinuities more precisely; and (d) the circumferential approach (circumnavigation of patient's head) and anterior position of the surgeon in order to visualize the sinus tympani, retropyramidal, and retrofacial areas, obviating extensive posterior tympanotomy bone dissections. These techniques make possible a third alternative to the choice of either combined-approach tympanoplasty or radical or modified radical mastoidectomy in the treatment of a number of advanced temporal bone lesions.

Cartilage

Four channel electronystagmographic (ENG) studies of eye movements induced by linear accelerations.

A parallel-swing ENG study in rabbits led to two investigative conclusions: (a) for experimental purposes the parallel swing test must be performed with monocular, both horizontal and vertical leads, and (b) such studies must be performed in a darkened room. Following surgical bilateral "immobilization" of the cupulae of the horizontal semicircular canals, horizontal nystagmus induced in the parallel-swing test is probably generated by the otolithic system.

Acceleration