Canal Wall Up vs. Canal Wall Down: Symptom of a greater need?

So, which is better, canal wall up or canal wall down? As a non-otologist, I don’t have a clue, and this debate may go on for another 32 years. What I do know is that we must address the bigger issue, which is that health care quality improvement is staring us in the face. Guidelines are something that practicing otolaryngologists, working together, can create, implement and refine based on patient outcomes. If we physicians don’t work on developing quality improvement tools, someone else will, and I don’t think we will like that outcome.

Sincerely,
Robert H. Miller, MD, MBA

Physician Editor, ENT Today
Executive Director, American
Board of Otolaryngology