DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203203

Postoperative mastoid cavity problems: a tertiary care centre experience

Aditiya Saraf, Raies Ahmad, Deep Jyoti, Parmod Kalsotra

Abstract


Background: Aims and objectives of the study were to find incidence and causes for postoperative mastoid cavity problems after modified radical mastoidectomy.

Methods: The present prospective study was conducted in the Department of ENT, SMGS Hospital, GMC Jammu from September 2017 to February 2020 on 25 patients with active squamosal chronic otitis media. All patients underwent modified radical mastoidectomy after taking written and informed consent. A period of 3 months postoperatively was taken as a healing time for complete epitheliasation of cavity. Any patient presenting with symptoms beyond this period was considered a cavity problem case.

Results: Out of 25 patients, 9 patients had cavity problems, the incidence of cavity problem being 36%. Perforation in tympanic membrane was seen in 7 patients (77%) and high facial ridge in 2 patients (22%). There was no case of narrow meatoplasty in our study.

Conclusions: Incidence of mastoid cavity problems can be reduced if the open cavity procedures are executed adequately.


Keywords


Cavity, Meatoplasty, Mastoid

Full Text:

PDF

References


Kveton JF. Open cavity mastoid operations. In: Gulya AJ, Minor LB, Poe DS, editors. Glasscock Shambaugh Surgery of the Ear. 6th ed. PMPH publishers; 2010: 515-528.

by Tröltsch AF. Textbook of ear medicine: including the anatomy of the ear. FCW Vogel; 1881.

Schwartz HH, Eysell UA. About the artificial opening of the mastoid process. Arch Ear Healing. 1873;7:157.

Von Bergmann E. Surgical treatment of the diseases of brain. Berlin; 1889.

Bondy G. Total chiseling with preservation of eardrum and ossicles. Msch Ehrenheilkunde. 1910;44:15

Zollner F. The radical operation with special reference to the hearing function. Zschr Laryngol Rhinol Otol. 1951;30:104.

Wullstein H. Functional operations in the middle ear with the help of the free split-flap graft. Arch Ears Noses U Larynx. 1952;161:422.

Matsuda Y, Kurita T, Ueda Y. Effects of tympanic membrane perforation on middle ear sound transmission. J Laryngol Otol. 2014;123:81-9.

Smith JA, Danner CJ. Complications of chronic otitis media and cholesteatoma. Otolarygol Clin North Am. 2010;39:1237-55.

Sheehy JL. Cholesteatoma surgery: canal wall down procedures. Ann Otol Rhinol Laryngol. 1988;97:30-5.

Browning GG, Merchant SN, Kelly G. Chronic otitis media. In: Gleeson M, editor. Scott Brown’s Otorhinolaryngology, head and neck surgery, 7th ed. Hodder Arnold publishers; 2008: 3396-3439.

Vartianen E. Ten year results of canal wall down mastoidectomy for acquired cholesteatoma. Auris Nasus Larynx. 2001;27:227-9.

Kuo CY, Huang BR, Chen HC, Shih CP, Chang WK, Tsai YL, et al. Surgical results of retrograde mastoidectomy with primary reconstruction of the ear canal and mastoid cavity. Biomed Res Int. 2015: 517035.

Bhatia S, Karmarkar S, DeDonato G, Mutlu C, Taibah A, Russo A, et al. Canal wall down mastoidectomy: causes of failure, pitfalls and their management. J Laryngol Otol. 1995;109(7):583-9.

Chhapola S, Matta I. Mastoid obliteration versus open cavity: a comparative study. Indian J Otolaryngol Head Neck Surg. 2014;66(1):207-13.

Kos MI, Castrillon R, Montandon P. Anatomic and functional long term results of canal wall down mastoidectomy. Ann Otol Rhinol Laryngol. 2004;113:872-6.

Rajan D, James S. A prospective analysis of post mastoidectomy cavity complications. Int J Otorhinolaryngol HeadNeck Surg. 2019;5:1566-9.

Sade J. Treatment of retraction pockets and cholesteatoma. J laryngol Otol. 1982;96:685-704.