Skip to main content Accessibility help
×
Home

Contents:

Information:

  • Access

Actions:

      • Send article to Kindle

        To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

        Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

        Find out more about the Kindle Personal Document Service.

        Subtotal Petrosectomy With Blind Sac Closure of the External Auditory Canal – Indications and Results
        Available formats
        ×

        Send article to Dropbox

        To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

        Subtotal Petrosectomy With Blind Sac Closure of the External Auditory Canal – Indications and Results
        Available formats
        ×

        Send article to Google Drive

        To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

        Subtotal Petrosectomy With Blind Sac Closure of the External Auditory Canal – Indications and Results
        Available formats
        ×
Export citation

Learning Objectives:

Introduction: Subtotal petrosectomy and blind sac closure of the auditory canal (STP) includes a canal wall down mastoidectomy with exenteration of all air cells, obliteration of the middle ear cleft with fat or temporalis muscle or a biocompatible material and closure of the external auditory canal. The indications for STP are weeping mastoid cavities, temporal bone malignancies, CSF leak and lateral base of skull surgeries. Hearing rehabilitation with a bone conduction hearing device or a cochlear implant can be offered. The aim of this study is to review the indications, results and hearing rehabilitation of the patients who underwent STP in our department.

Methods: All charts of patients who underwent STP between October 2011 and December 2015 were reviewed and analyzed.

Results: During this period 20 patients underwent STP. The average age was 46.9(13–81). 6 patients had cholesteatoma of them 5 were deaf in the operated ear. 1 patient had an encephalocele in a previously operated ear. 13 patients had a weeping mastoid cavity with no cholesteatoma. 4 patients had a Bone Anchored Hearing Aid and One patient had a Bonebridge implanted. 2 patients had a cochlear implant in a deaf ear. 1 patient had surgery for external auditory canal carcinoma. One patient with a weeping cavity had a recurrent infection in the mastoid cavity, the miatus opened and discharge persisted. All other operated patients ears stopped discharging therefore the success rate in this series is 95%. There were no major complications after surgeries. All patients who had a bone anchored hearing device or a cochlear implant presented benefit from their devices.

Conclusion: Patients with weeping cavities are debilitated due to water precautions, vestibular effect, the reduced hearing and the discharge that can be extremely disturbing. A debilitating weeping cavity which does not respond to medical treatment is a surgical disease. In such patients STP with hearing rehabilitation should be suggested.