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Temporal bone histopathology of open mastoidectomy cavities

Published online by Cambridge University Press:  29 June 2007

Robin Youngs
Robin Youngs*
Affiliation:
(Bury St Edmunds)
*
Robin Youngs, F.R.C.S., Department of Otolaryngology, West Suffolk Hospital, Hardwick Lane, Bury St Edmunds, Suffolk IP33 2QZ
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Abstract

Open cavity mastoidectomy remains the principle surgical treatment of middle ear cholesteatoma in the United Kingdom. A significant proportion of mastoid cavities are prone to intermittent or continuous discharge.

In this study the temporal bone histopathology of four patients who had undergone open cavity mastoidectomy is presented. Cavities were predominantly lined with stratified keratinizing squamous epithelium. Residual air cells were obliterated by fibrous tissue, with no evidence of persistent respiratory epithelium. Where inflammatory changes were found, these consisted of areas of granulation tissue in association with epithelial ulceration. Residual cholesteatoma pearls (epidermoids) were not associated with significant inflammatory changes.

Keywords

Mastoid, surgeryCholesteatomaHistology
Type
Pathology in Focus
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 6 , June 1993 , pp. 569 - 573
Copyright
Copyright © JLO (1984) Limited 1993

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References

Beales, P. H. (1959) The problem of the mastoid segment after tympanoplasty. Journal of Laryngology and Otology 73: 527–531CrossRefGoogle ScholarPubMed
Field, G. P. (1894) A Manual of Diseases of the Ear. Balliére, Tindall and Cox, London, p 222.Google Scholar
Holunger, J. (trans), Bezold, E, Siebenmann, F. (1908) Textbook of Otology. E. H. Colegrove Co., Chicago, p 197.Google Scholar
Jahn, A. F. (1989) Cholesteatoma: what is it, how did it get there and how do we get rid of it? Otolaryngology Clinics of North America 22: 847–857CrossRefGoogle Scholar
Males, A. G., Gray, R. F. (1991) Mastoid misery: quantifying the distress in a radical cavity. Clinical Otolaryngology 16: 12–14CrossRefGoogle Scholar
Mills, R. P. (1988) Surgical management of the discharging mastoid cavity. Journal of Laryngology and Otology Suppl. 16: 1–6Google ScholarPubMed
Nadol, J. B. (1985) Causes of failure of mastoidectomy for chronic otitis media. Laryngoscope 95: 410–413.CrossRefGoogle ScholarPubMed
Palva, T. (1973) Operative technique in mastoid obliteration. Acta Otolaryngologica (Stockholm) 75: 289–290CrossRefGoogle ScholarPubMed
Palva, T. (1982) Obliteration of the mastoid cavity and reconstruction of the canal wall. In: International Medical Reviews: Otolaryngology 1: Otology, (Gibb, A. G., Smith, M. E, eds.), Butterworths, London, pp 19–29.Google Scholar
Premachandra, D. J., Woodward, B. M., Milton, C. M., Sergeant, R. J., Fabre, J. W. (1990) Treatment of postoperative otorrhoea by grafting of mastoid cavities with cultured epidermal cells. Lancet 335: 365–367CrossRefGoogle Scholar
Proops, D. W., Smallman, L. A., Smyth, G. D., Kerr, A. G. (1989) Residual cholesteatomatous epidermoids. Proceedings of the Third International Conference on Cholesteatoma and Mastoid Surgery. Kugler and Ghedini, Amsterdam, pp 571–574.Google Scholar
Rambo, J. H. (1965) The use of musculoplasty: advantages and disadvantages. Annals of Otology, Rhinology and Laryngology 74: 535–554CrossRefGoogle ScholarPubMed
Sade, J., Weinberg, J., Berco, E., Brown, M., Halvey, A. (1982) The marsupialized (radical) mastoid. Journal of Laryngology and Otology 96: 869–875CrossRefGoogle ScholarPubMed
Schuknecht, H. F. (1974) Pathology of the Ear. Harvard University Press, Cambridge, Massachusetts, p 254.Google Scholar
Taylor, M., McMinn, R. M. H. (1966) Preliminary observations on the histopathology of wet mastoid cavities. Journal of Laryngology and Otology 60: 42–54CrossRefGoogle Scholar
Weir, N. (1990) Otolaryngology: An Illustrated History, Butterworth & Co., London, p 83.Google Scholar