Obliteration of Radical Cavities and Total Reconstruction Procedure Without Staging After Canal Wall Down Mastoidectomy: Long-term Results.
- Author:
Shao Cheng LIU
1
;
Chih Hung WANG
;
Bor Rong HUANG
Author Information
- Publication Type:Original Article
- Keywords: Cholesteatoma; Mastoid; Surgical Procedures, Operative; Reconstructive Surgical Procedures; Hearing
- MeSH: Absorption; Cholesteatoma; Ear, Middle; Follow-Up Studies; Hearing; Humans; Mastoid; Reconstructive Surgical Procedures; Surgical Procedures, Operative; Tympanic Membrane; Water
- From:Clinical and Experimental Otorhinolaryngology 2015;8(3):230-236
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVES: We evaluate the long-term surgical and hearing results using a canal wall down mastoidectomy technique followed by cavities obliteration, canal wall reconstruction and ossiculoplasty without staging. METHODS: A total of 44 patients between January 2002 and October 2009 were selected and 27 of them were revision cases. Preoperative and postoperative pure tone average (PTA) and air-bone gap (ABG) were assessed and compared 1 and 4 years after surgery. RESULTS: The middle ear was well healed and aerated in 40 patients (90.9%) and the tympanic membrane was intact in 42 patients (95.5%). Recurrent cholesteatoma was found on postoperative follow-up in two of the revision patients (7.4%) but none in the primary patients. Seven patients were found to have partial canal bone absorption, but revision surgery was not required. Over 86.4% of all cases were water resistant. Long-lasting improvement and/or preservation of hearing, with maintenance of PTA-ABG closure in 63.7% of all cases within 20 dB, were obtained. CONCLUSION: The efficacy of our technique after a canal wall down mastoidectomy is satisfactory, and the rate of complication is acceptably low. We believe that our technique could be a convenient method in disease control and providing an excellent basis for hearing restoration simultaneously.
