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Role of Surgery in tuberculous mastoiditis

Published online by Cambridge University Press:  29 June 2007

Bharath Singh
Bharath Singh*
Affiliation:
Durban, South Africa
*
B. Singh, Department of Otorhinolaryngology, Faculty of Medicine, University of Natal, P. O. Box 17039, Congella, 4013, South Africa.
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Abstract

A study was understand in 43 patients to determine the role of surgery in tuberculous mastoidits. Cortical mastoidectomy was performed on five patients (Group I). Incision and drainage of a post-auricular abscess, removal of sequestrum and meatoplasty in eight (Group II).

Thirty patients had no ear surgery (Group III). Of the 17 Patients with facial palsy, three were in Group I, two in Group II, 12 in Group III. The patients in all three groups were treated with anti-tuberculous drugs for a period of no less than six months.

The average time taken for the otorrhoea to subside and granulation issue to resolve completely was two months in all three groups. The facial nerve recovery in the non-operated ears (Group I and II) 80 per cent.

The conclusion is that chemotherapy is the management of choice in tuberculous mastoidits. The only role of surgery is incision and drainage of a post-auricular abscess and removal of sequestrum if present.

Keywords

MastoiditisTuberculosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 11 , November 1991 , pp. 907 - 915
Copyright
Copyright © JLO (1984) Limited 1991

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