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Surgical management of troublesome mastoid cavities

Published online by Cambridge University Press:  09 November 2010

M Yung ,
P Tassone ,
I Moumoulidis  and
S Vivekanandan
M Yung*
Affiliation:
Department of Otolaryngology, The Ipswich Hospital NHS Trust, UK
P Tassone
Affiliation:
Department of Otolaryngology, The Ipswich Hospital NHS Trust, UK
I Moumoulidis
Affiliation:
Department of Otolaryngology, The Ipswich Hospital NHS Trust, UK
S Vivekanandan
Affiliation:
Department of Otolaryngology, The Ipswich Hospital NHS Trust, UK
*
Address for correspondence: Mr Matthew Yung, Department of Otolaryngology, The Ipswich Hospital NHS Trust, Heath Road, Ipswich IP5 4PD, UK Fax: +44 (0)1473 793576 E-mail: matthewyung@btconnect.com
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Abstract

Objective:

To examine the reasons for discharging mastoid cavities, the operative findings during revision surgery, and the medium-term outcome.

Patients:

One hundred and forty revision mastoidectomies in 131 patients were studied. Post-operatively, patients were followed up at three, six and 12 months and then yearly.

Intervention:

A variety of techniques were performed. Over 80 per cent of ears were treated with mastoid obliteration. Concomitant hearing restorative procedures were carried out in one-third of the ears.

Results:

The mastoid cavities were troublesome because of large cavity size, bony overhang, residual infected mastoid cells, the presence of cholesteatoma or perforations, and/or inadequate meatoplasty. One year after revision mastoidectomy, over 95 per cent of the ears had become completely ‘dry’ and water-resistant. Overall, 50.9 per cent of the ears had a 12-month post-operative air–bone gap of 20 dB or less.

Conclusion:

Revision mastoidectomy has a high success rate in converting troublesome mastoid cavities into dry, water-resistant ears.

Keywords

MastoidCholesteatomaRevision SurgeryOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 3 , March 2011 , pp. 221 - 226
Copyright
Copyright © JLO (1984) Limited 2010

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