Long-term follow-up evaluation of mastoidectomy in children with non-cholesteatomatous chronic suppurative otitis media

Rickers, Jonas; Petersen, Claus; Pedersen, C.; Ovesen, Therese

doi:10.1016/j.ijporl.2005.09.005

Cited by 18 publications

(23 citation statements)

References 21 publications

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“…On overall assessment we found that cortical mastoidectomy did not offer any additional benefit as compared to myringoplasty alone. 13,17,3,14,18,8,15,11,19,20,4,5,21,12,22,17 However, we found that in case of wet ear, cortical mastoidectomy has a better graft take up rate and lower odds of failure as compared to myringoplasty alone group.…”

Section: Discussionmentioning

confidence: 57%

A Comparative Study of Role of Cortical Mastoidectomy in Myringoplasty

Kawatra¹,

Maheshwari²,

Bhatt³

2015

jebmh

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BACKGROUND: Chronic suppurative otitis media is an inflammatory process of mucoperiosteal lining of middle ear space and mastoid. Effect of mastoidectomy on patients without evidence of active infectious disease remains highly debated and unproven. In this study the role of cortical mastoidectomy in myringoplasty in patients of CSOM in dry as well as wet ears was evaluated. OBJECTIVE: To evaluate the efficacy and role of cortical mastoidectomy in patients with CSOM (safe type) in dry as well as wet ears. STUDY DESIGN: Prospective randomized. METHODS: Data was collected from the patients undergoing myringoplasty with or without cortical mastoidectomy. Study was carried out on a total of 80 patients undergoing the surgery. Study period was 18 months with 6 months of follow up. Outcome was evaluated in terms of graft rejection, lateralization and change in AB gap. STATISTICAL ANALYSIS: The statistical analysis was done using SPSS (Statistical Package for Social Sciences) Version 15.0 statistical Analysis Software. RESULTS: overall success rate was 77.5%. It was higher in dry ear (87.5%) as compared to wet ear (67.5%) and this difference was significant statistically. On evaluating odds of failure for wet ear, it was observed that group 1 had higher odds of failure for wet ear as compared to that of group 2. CONCLUSION: In both myringoplasty alone or with cortical mastoidectomy, failure rates were higher in wet as compared to dry ears, however odds of failure in wet cases were much higher in myringoplasty alone group as compared to myringoplasty with cortical mastoidectomy.

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Section: Discussionmentioning

confidence: 57%

A Comparative Study of Role of Cortical Mastoidectomy in Myringoplasty

Kawatra¹,

Maheshwari²,

Bhatt³

2015

jebmh

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“…In those cases that do not resolve or result in spontaneous healing of the TM with conservative measures, surgical intervention is considered. 1 The issue of whether mastoidectomy is needed for good surgical outcomes in CSOM remains controversial. Our standard surgical treatment of noncholesteatomatous CSOM is tympanoplasty without mastoidectomy.…”

mentioning

confidence: 99%

Efficacy of Tympanoplasty Without Mastoidectomy for Chronic Suppurative Otitis Media

Webb¹,

Chang²

2008

Arch Otolaryngol Head Neck Surg

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“…In an evaluation of 47 children undergoing mastoidectomy for noncholesteatomatous CSOM, Rickers et al5 found an 89% successful perforation repair rate (although two ears underwent reoperation for perforation) and noted that 42% of ears had a normal tympanic membrane at a median postoperative period of 15 years. However, approximately 40% required at least one subsequent operation.…”

Section: Literature Reviewmentioning

confidence: 99%

“…However, approximately 40% required at least one subsequent operation. Of these, 17% required revision myringoplasty, 13% required a revision mastoidectomy, 10.6% required subsequent PET placement, and 8.5% underwent revision tympanoplasty 5…”

Section: Literature Reviewmentioning

confidence: 99%