A Study on Outcome of Cortical Mastoidectomy With Tympanoplasty in Csom

Palukri, Suresh; P, Narayana Rao

doi:10.18410/jebmh/2015/1099

Cited by 1 publication

(2 citation statements)

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“…In our study we did not find a significant association between active or inactive state of mucosal disease and antral status. Previous studies have different views regarding mastoid exploration in wet ears (6)(7)(8)(9)(10)(11). Palukri et al has suggested that mastoid must be explored in wet ears to clear pathology in antrum (6).…”

Section: Resultsmentioning

confidence: 99%

“…Mastoid exploration can be done in form of a cortical mastoidectomy or a limited antrostomy. "Cortical mastoidectomy is a surgical procedure done to remove disease from the mastoid antrum, mastoid air cell system and aditus with preservation of intact bony external auditory canal wall, without disturbing the existing middle ear contents" (6).…”

Section: Introductionmentioning

confidence: 99%

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Study of Mastoid Antral Changes in Tubotympanic Chronic Supportive Otitis Media

Padda,

Kumar,

Bist

et al. 2023

J. Adv. Zool.

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Background: Study of mastoid antrum ﬁndings in tubotympanic chronic suppurative otitis media Objectives: To study mastoid antrum ﬁndings in tubotympanic CSOM and to determine predictors for performing antrostomy. Methodology: 71 patients with tubotympanic CSQM were selected from OPD and IPD. All patients were subjected to investigations like X—ray mastoid (Schuller’s View), pure tone audiometry and Otoendoscopy. All patients were subjected to mastoid exploration (cortical mastoidectomy or antrostomy) with tympanoplasty. Pre-Operative ﬁndings on basis of history, examination and investigations were noted along with intra-operative ﬁndings of middle ear and mastoid antrum. Findings were tabulated and statistical tests were applied to determine signiﬁcant predictors. Results: Mastoid antrum was found to be diseased in 21 patients with pathological ﬁndings like mucopus, granulations etc. Recurrent URTI, mastoid pneumatization pattern, pre operative middle ear mucosal status on otoendoscopy, degree of hearing loss and ossicular status were signiﬁcantly associated with diseased antrum (P-value<0.05). Conclusion: Disease can be found in mastoid antrum in tubotympanic CSOM. Mastoid exploration in form of antrostomy should be done in all cases where certain predictors are present. The predictors for performing antrostomy in tubotympanic disease are presence of recurrent URTI on history, sclerotic mastoid on x—ray mastoid (Schuller’s View), unhealthy middle ear mucosa on otoendoscopy, moderate and moderately severe hearing loss on pure tone audiometry and intra-operative ossicular necrosis and immobility.

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