Mastoid Obliteration and Reconstruction: A Review of Techniques and Results

Chan, Colin; Chan, Yew Meng

doi:10.1177/201010581202100105

Cited by 15 publications

(20 citation statements)

References 25 publications

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“…These results are compatible with other works. [1][2][3][4][5] Another important point to be mentioned (as regard the use of self-materials) is that it has no reaction, thus (in case of recurrence) no hazards of hidden disease. The proposed technique is readily available, less costly, and economic.…”

Section: Our Technique: Idea and Pre-versus Post-operative Resultsmentioning

confidence: 99%

“…Mastoid reconstruction techniques also lessen the development of postauricular skin depression, improve the aesthetic appearance, and a future hearing aid could be fitted comfortably. [1][2][3][4][5]…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6] The chosen surgical procedure should be tailored to the patient's condition, size of mastoid cavity, and surgeon's experience. 1,2,4 Materials for Mastoid Reconstruction Different materials were used; they can be classified into 2 main categories: (1) free grafts (biologic and nonbiologic) and (2) local flaps. All of these materials have their advantages and disadvantages, but nonbiologic materials seem to be less preferred.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Mastoid Reconstruction With Platelet-Rich Plasma and Bone Pate After Canal Wall Down Mastoidectomy: A Preliminary Report

2019

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Objectives: Mastoid reconstruction principle had been described to overcome problems of chronic discharging cavity. Different materials were used; nonbiologic materials seem to be less preferred. Platelet-rich plasma (PRP) could promote the regeneration of mineralized tissues. In this work, the authors present a simple and easy technique for mastoid reconstruction with PRP and cortical bone pate. Methods: The study design is a case series. Patients had mastoid reconstruction after canal wall down mastoidectomy using PRP and cortical bone pate. Results: This study included 21 patients: 9 males, and 12 females. Sixteen patients had left side disease. All surgical procedures were conducted smoothly within 90 to 135 minutes with no stressful events had been reported. At 12 to 16 months of follow-up, external canal stenosis and mastoid fistulas were not reported. Good healing of the tympanic membrane was seen in 18 patients. No radiological signs suggestive of recurrence were detected and the reconstructed mastoid cavity was smooth and well aerated. Residual tympanic membrane perforations were detected in 3 patients. Conclusion: Autologous materials (PRP and bone pate pate) after canal wall down mastoidectomy appear to be a reliable and effective choice for mastoid reconstruction.

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Section: Our Technique: Idea and Pre-versus Post-operative Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mastoid Reconstruction With Platelet-Rich Plasma and Bone Pate After Canal Wall Down Mastoidectomy: A Preliminary Report

2019

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“…3 Obliteration is subdivided into 'filler' and 'flap' methods. 4 Filler techniques involve obliteration of the cavity dead space by the use of free grafts or other materials. Several materials have been used to reconstruct the posterior external auditory canal (EAC) as free grafts like cartilage, EAC bone and synthetic materials like silicone, proplast, ionomer cement ceravital and hydroxyl apatite.…”

Section: Introductionmentioning

confidence: 99%

Comparison of mastoid obliteration with middle temporal artery flap versus open cavity: a comparative study

Swami

Arjun

Bhat

2020

Int J Otorhinolaryngol Head Neck Surg

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Background:The objective was to study the outcomes of the canal wall down (CWD) mastoidectomy patients in those with soft canal wall reconstruction by using middle temporal artery (MTA) flap in comparison to those with cavity left open. Methods: A prospective study of 20 patients undergoing CWD surgery was done with 10 in each group of mastoid obliteration and open cavity. The outcomes were studied at 1, 3, 6 and 12 months post-surgery. Results: At the final assessment of 12 months post op, the obliteration group had only 10% patients with grade 1 infection while open cavity group had 40% with grade 2 infection. Obliteration of mastoid cavity and reconstruction of canal wall with soft tissue MTA flap gave excellent control of infection. Conclusions: The MTA flap is highly flexible and versatile for otologic reconstruction with an excellent arc of rotation and robust blood supply. It does not have the issues of resorption, dehiscence or fistula formation faced in other obliteration techniques.

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“…The materials used for PMW reconstruction can be classified into two main categories: autologous grafts (bone, cartilage) and synthetic materials. 9 …”

Section: Introductionmentioning

confidence: 99%

Platelet-Rich Plasma in Reconstruction of Posterior Meatal Wall after Canal Wall Down Mastoidectomy

Elbary

Nasr

Sorour

2017

Int Arch Otorhinolaryngol

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Introduction Canal wall down (CWD) mastoidectomy has many drawbacks, including chronic otorrhea not responding to medications, granulations, dizziness on exposure to cold or hot water, and tendency of debris accumulation in the mastoid cavity, demanding periodic cleaning. Many of these problems can be solved by reconstruction of the posterior meatal wall (PMW). Objectives To assess the results of PMW reconstruction after CWD mastoidectomy for cholesteatoma using titanium mesh and platelet-rich plasma (PRP) mixed with bone pate. Methods This study was conducted with 20 patients that have atticoantral chronic suppurative otitis media. All cases were subjected to CWD mastoid surgery with complete elimination of the disease and reconstruction of the PMW by titanium mesh and the mixture of PRP with bone pate. All patients were exposed to a full preoperative evaluation and full postoperative assessment of the complications, the appearance of the external auditory canal contour, and the hearing gain expressed by the change of the air bone gap postoperatively. Results The PMW reconstructed by titanium mesh and the mixture of PRP with bone pate showed a smooth contour. During the follow-up of 12 to 36 months, the postoperative appearance of the external auditory canal contour was found to be smooth without hidden pouches, irregularities or stenosis in all cases. No granulation, foreign body reaction, or extrusion and/or displacement of the titanium mesh were registered. No facial palsy or recurrent cholesteatoma was reported. Conclusion The surgical reconstruction of the PMW using PRP, bone pate and titanium mesh after CWD mastoidectomy appears to be reliable without considerable complications, giving a smooth appearance to the PMW.

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Mastoid Obliteration and Reconstruction: A Review of Techniques and Results

Cited by 15 publications

References 25 publications

Mastoid Reconstruction With Platelet-Rich Plasma and Bone Pate After Canal Wall Down Mastoidectomy: A Preliminary Report

Mastoid Reconstruction With Platelet-Rich Plasma and Bone Pate After Canal Wall Down Mastoidectomy: A Preliminary Report

Comparison of mastoid obliteration with middle temporal artery flap versus open cavity: a comparative study

Platelet-Rich Plasma in Reconstruction of Posterior Meatal Wall after Canal Wall Down Mastoidectomy

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