Surgical Outcome of Mastoid Cavity Obliteration Using Postauricular Composite Bone with Periosteum Flap

Shah, Aniket Kamlesh; Patel, Seema; Pawde, Apurva

doi:10.1007/s12070-017-1136-z

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…26 Shah et al in their study had 49 males and 51 females with the patient ratio of 0.9:1. 34 Researches by Shah et 22,26 There is no emerging pattern which favours male or female affliction for the disease. Thus our study is comparable to other studies.…”

Section: Gender Distributionmentioning

confidence: 99%

Comparative study of quality of life and surgical outcome in open mastoid cavity and mastoid cavity obliteration in canal wall down mastoidectomy

Maheshwari

Kumar

Nagle

2023

Int J Otorhinolaryngol Head Neck Surg

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Background: Canal wall down mastoidectomy is a surgical technique used for the eradication of middle ear disease. The remaining large mastoid bowl is associated with a number of issues; one of the techniques that have been developed in order to avoid such problems is the obliteration of the mastoid cavity. Mastoid obliteration resulted in a decrease in the complications associated with the open mastoid cavity. The materials used for this reason are either biological or synthetic. Mastoid obliteration with synthetic materials is a valuable and safe surgical technique for patients who undergo canal wall down mastoidectomy. Methods: This is a prospective study carried out in the department of otorhinolaryngology. Sample size: 30 patients out of which 15 were operated by Modified Radical Mastoidectomy with obliteration (Group A) and 15 were operated by Modified Radical Mastoidectomy without obliteration (Group B). Study design: single centre, longitudinal, prospective, two group, parallel, follow-up, randomly allocated statistical method and tools: Fischer’s Exact Test. Study period: August 2017 to August 2020. Results: Study was divided in two groups, group A (modified radical mastoidectomy with obliteration) & group B (modified radical mastoidectomy without obliteration). Conclusions: The incidence of pain, discharge, giddiness and wax formation was markedly reduced in obliterated cavities as compared to open cavities. Healing of the cavity as evidenced by epithelialization, at the end of 3 months, was better in obliterated ears. Patients with obliterated mastoid cavity required less cavity care, doctor dependence, frequent OPD visits.

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Section: Gender Distributionmentioning

confidence: 99%

Comparative study of quality of life and surgical outcome in open mastoid cavity and mastoid cavity obliteration in canal wall down mastoidectomy

Maheshwari

Kumar

Nagle

2023

Int J Otorhinolaryngol Head Neck Surg

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“…9 Residual cholesteatoma is the most frequent and serious complication. If the tissue coverage is extensive, cholesteatoma may go undetected until it becomes quite large or even results in 45 Chronic otitis media, cholesteatoma CWD Kim BG 2019 46 Chronic otitis media, cholesteatoma, adhesive otitis CWD Kim JS 2019 47 Chronic otitis media CWD Shah 2019 48 Cholesteatoma, chronic suppurative otitis media (CSOM), recurrent cholesteatoma CWD Elbary 2018 49 CSOM CWD Sorour 2018 50 CSOM CWD Lee HJ 2017 53 Chronic otitis media, cholesteatoma Canal reconstruction (previous patients had canal wall down mastoidectomies and canal wall up) Bernardeschi 2017 51 CWD (primary or revision), CWU undergoing mastoid obliteration Revision surgery following CWD Geerse 2017 52 Chronically draining mastoid cavities Revision radical cavity surgery Mestdagh 2017 54 Cholesteatoma CWD or CWU Vos 2017 55 Non-cholesteatoma chronic otitis media with chronically discharging ears despite conservative therapy CWD or CWU Cox 2016 56 Draining cavity, recurrent cholesteatoma, conductive hearing loss after mastoidectomy, glomus tumour…”

Section: Autologous Materialsmentioning

confidence: 99%

Materials used for mastoid obliteration and its complications: a systematic review

Choong

Kwok

Shen

et al. 2022

ANZ Journal of Surgery

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Objective: The objectives of this review are to identify the types of materials with their associated complications and respective considerations when used to obliterate the mastoid cavity. Methods: A systematic search was performed across PubMed, Embase, Medline and Cochrane databases from January 2009 to January 2020 for randomized controlled trials and observational studies of patients that underwent mastoid obliteration. Studies that fulfilled the inclusion criteria were screened and scored according to the MINORS and relevance scores to determine final inclusion. Types of complications were grouped into minor and major complications based on the Clavien-Dindo classification. Results: Two thousand five hundred and seventy-eight ears were evaluated. There were a total of 165 (7.9%) minor and 142 (6.8%) major complications in the autologous group. Overall complication rate is 14.8%. The major complications were largely recurrent and residual disease requiring revision surgery. There were 10 (18.5%) minor complications and three (5.6%) major complications in the allogenic group. The cumulative complications risk is 24%. For the synthetic group, there were 39 (8.0%) minor and 34 (7.6%) major complications. The cumulative complication rate is 16.6%. Conclusion: Current evidence on materials for mastoid obliteration has been evolving. Each material has its strengths and limitations. The trend over the last decade favours the use of autologous materials. The principle of using a material remains being cautious of not reimplanting skin that can lead to the development of a cholesteatoma. The choice of materials is dependent on patient factors as well as the surgeons' preference and experience. 7 (31.8) 1 (4.5) † Park study is tabulated in the autologous and synthetic group as well as it looked at different group of materials. ‡ No specific details provided..

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Patient-Related Long-Term Outcome Measures After Mastoid Surgery at A Tertiary Care Center of North India

Patro,

Panda,

Rathod

2022

Indian Journal of Otology

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Background: Long-term postsurgical follow-up in chronic otitis media (COM) is crucial in otologic practice for outcome assessment. Validated questionnaires for the same are robust alternatives when physical visits are not feasible such as the current COVID-19 pandemic and we present our findings of outcome assessment using COM outcome test (COMOT)-15 questionnaire through nonphysical mode. Materials and Methods: A retrospective analysis of a cohort of 112 patients of COM who underwent surgery by the single senior otology surgeon between 2009 and 2019 was done using COMOT 15 questionnaire through telephonic methods to circumvent the need of office visits. Results: Fifty out of 112 patients could be contacted and consented for the assessment and their COMOT-15 scores were obtained. The numbers of patients with any otologic symptoms and their need for consultations, except hearing loss were significantly less. One-third of the patients had mild to moderate residual hearing loss and its quality of life impacts, although the same neither was statistically significant nor required increased numbers of consultations. Conclusion: Bothering symptoms and the need for a frequent visit to the doctor is significantly less with adequate clearance of disease and mastoid obliteration in cases of canal wall down procedures. The residual mild-to-moderate hearing loss are not significant and manageable with day-to-day activities. Successful outcome of COM surgery needs long-term follow-up and evaluation by all practicing otologic departments and surgeons which can well be done through nonphysical modes in unprecedented situations like the current times.

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Surgical Outcome of Mastoid Cavity Obliteration Using Postauricular Composite Bone with Periosteum Flap

Cited by 3 publications

References 11 publications

Comparative study of quality of life and surgical outcome in open mastoid cavity and mastoid cavity obliteration in canal wall down mastoidectomy

Comparative study of quality of life and surgical outcome in open mastoid cavity and mastoid cavity obliteration in canal wall down mastoidectomy

Materials used for mastoid obliteration and its complications: a systematic review

Patient-Related Long-Term Outcome Measures After Mastoid Surgery at A Tertiary Care Center of North India

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