Obliteration of the middle ear cleft

Violaris, N. S.; Donovan, R E

doi:10.1017/s002221510010800x

Cited by 1 publication

(1 citation statement)

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“…MRI may be performed one and three years after the operation in the follow-up of these patients. The outer ear canal can be occluded when the pre-operative sensorineural hearing loss is more than 50 decibels (Violaris and Donovan, 1989) and there is no history of cholesteatoma (Bartels and Sheehy, 1981). The ideal patient for total obliteration has a chronic suppurative ear disease without cholesteatoma in a deaf ear and with a normal ear and normal hearing on the opposite side (Schuknecht and Chandler, 1984).…”

Section: Discussionmentioning

confidence: 99%

Radical revision mastoidectomy for chronic otitis media without cholesteatoma: the relevance of excenteration of all rest cells

Rombout¹,

Pauw²

1999

J. Laryngol. Otol.

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Patients who, despite treatment, suffer persistent chronic otitis media (COM), a radical cavity and a hearing loss of more than 55 decibels for more than five years, can be classified as having an ‘endstage’ COM. It is generally agreed that retained infected residual cell tracts or a too small meatus are common causes for failure of surgery for COM. Radical revision mastoidectomy (RRM) aims to remove all residual cell tracts in the mastoid, in the middle-ear cleft, around the labyrinth and around the Eustachian tube. The mastoid cavity is obliterated with a pedicled muscle flap. Thus the mastoid cavity is reduced and selfcleansing is improved. The first 16 consecutive patients who underwent a RRM for ‘endstage’ COM were included in this study. In about 80 per cent the treatment resulted in a dry ear. We, therefore, conclude that RRM is an effective and safe method for treating ‘endstage’ COM.

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Section: Discussionmentioning

confidence: 99%