A large number of considerations determine whether an open-cavity or closed
-cavity technique is most appropriate for an individual patient. These cons
iderations in the selection of technique, as well as the advantages and dis
advantages of both open-cavity and closed-cavity tympanomastoidectomy are r
eviewed in this article. Emphasis is placed on the technical details requir
ed to produce a problem free and functional open-cavity tympanomastoidectom
y.