Mastoidectomy and mastoid obliteration with autologous bone graft: a quality of life study

Kurien, George; Greeff, Kate; Gomaa, Nahla; Ho, Allan

doi:10.1186/1916-0216-42-49

Cited by 47 publications

(50 citation statements)

References 23 publications

(38 reference statements)

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“…Large mastoid cavities can be reconstructed or obliterated with either bone or soft tissue such as cartilage or muscle, at the time of surgery, or at a later date, to reduce the size of the cavity and enable a self-cleaning ear [19,20].…”

Section: Active Squamous Disease/cholesteatomamentioning

confidence: 99%

Chronic otitis media

Wallis

Atkinson

Coatesworth

2015

Postgraduate Medicine

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Chronic otitis media (COM) is a common problem facing general practitioners, pediatricians and otolaryngologists. This article reviews the aetiopathogenesis, epidemiology, presentation, natural history, complications and management of COM. The literature was reviewed by using the PubMed search engine and entering a combination of terms including "COM", "diagnosis", "incidence", "complications" and "management". Relevant articles were identified and examined for content. What is the "take-home" message for the clinician? COM is a common problem with various sub-categories according to the disease state. It most commonly presents with painless otorrhoea and hearing loss. Treatment options vary according to the activity and type of disease encountered. COM carries significant patient morbidity.

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Section: Active Squamous Disease/cholesteatomamentioning

confidence: 99%

Chronic otitis media

Wallis

Atkinson

Coatesworth

2015

Postgraduate Medicine

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“…To resolve this controversial issue, many surgeons have opted to lower the posterior canal wall to the level of the facial nerve for the management of cholesteatoma, followed by mastoid obliteration, with reconstruction of the posterior canal wall, ossicular chain, and tympanic membrane [5,6] . Several mastoid obliteration techniques have been used, including muscle flaps, cortical bone pate, autologous bone chips, and hydroxyappetite [7,8] . Mastoid obliteration provides a better quality of life as opposed to an unobliterated open cavity.…”

Section: Introductionmentioning

confidence: 99%

Single Stage Canal Wall Down Mastoidectomy with Reconstruction of the Canal Wall: 5 Years’ Experience in Fayoum Province, Egypt

Qotb

Fawzy²,

Ragab³

2017

Int Adv Otol

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OBJECTIVE:Removing the posterior canal wall or canal wall down mastoidectomy (CWDM) for the management of cholesteatoma remains controversial. We advocate partial removal of the posterior canal wall for complete eradication, followed by canal wall defect reconstruction to restore the normal anatomy and avoid the complications of CWDM. MATERIALS and METHODS:Sixty-four patients with cholesteatoma (71 ears) were included. This study was conducted between 2009 and 2012. Single-stage mastoidectomy was performed by drilling the upper third of the posterior canal wall together with the attic, leaving the remaining lower two-thirds intact. Conchal cartilage was used to reconstruct the upper third of the posterior canal wall. RESULTS:The mean±SD healing time was 7.5±2.3 (range, 4-14) weeks. The mean±SD preoperative and postoperative air bone gaps were 35.8±6.2 dB and 22.9±6.8 dB, respectively. Nearly 84.2% of the patients were followed up for at least 3 years and had dry healthy ears. Complications were noted and statistically examined. CONCLUSION:Single-stage CWDM with reconstruction of the posterior canal wall, ossicular chain, and tympanic membrane is a safe and reliable technique with the advantages of Canal wall up Mastoidectomy (CWUM). Its recurrence rate is 4.2%. Longer follow-up durations are required.

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“…Concerning the classical CWD procedure with an open mastoid cavity, the emphasis of most studies has been on the management of postoperative chronic otorrhea [2,13,20,21,26]. Several partial or complete obliteration techniques with excellent anatomical results have been published [27,28,29,30]. …”

Section: Discussionmentioning

confidence: 99%

Audiometric Results of Open Cavity Tympanomastoidectomy in Advanced Attic Cholesteatoma

Minovi¹,

Dombrowski²,

Shahpasand³

et al. 2015

ORL

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In this retrospective study, we evaluated the audiometric results after using the retrograde mastoidectomy technique with open mastoid cavity for the removal of extended attic cholesteatomas. The described technique was used for cholesteatoma removal in 168 adult patients with an average follow-up time of 12 months. Due to cholesteatoma extension far into the mastoid, the disease was eradicated by the canal wall down (CWD) technique with the creation of an open mastoid cavity. Primary surgery was carried out in 47% of ears, with the remaining 53% representing revision surgery. In all cases, a classical CWD with an open mastoid cavity and partial obliteration with cartilage was created. A dry ear was achieved in 94% of cases. A postoperative air-bone gap ≤20 dB was achieved in 42.9% of the operated ears. 9.3% (n = 15) of the operated ears showed a postoperative air-bone gap >30 dB. Important factors leading to significantly better hearing restoration were an intact malleus, the use of alloplastic titanium prostheses and primary surgery. Although most cholesteatomas nowadays can be eradicated with the canal wall up technique, in far advanced cholesteatomas, the CWD technique can be applied with acceptable postoperative hearing results.

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Mastoidectomy and mastoid obliteration with autologous bone graft: a quality of life study

Cited by 47 publications

References 23 publications

Chronic otitis media

Chronic otitis media

Single Stage Canal Wall Down Mastoidectomy with Reconstruction of the Canal Wall: 5 Years’ Experience in Fayoum Province, Egypt

Audiometric Results of Open Cavity Tympanomastoidectomy in Advanced Attic Cholesteatoma

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