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Published on: May 23, 2021
Role of mastoid obliteration in patients with persistent cavity problems following modified radical mastoidectomy
S Gopalakrishnan1, S K Chadha, G Gopalan
1Department of Otolaryngology, JIPMER, Pondicherry, India.
Abstract:
A randomized clinical trial was conducted to determine the efficacy of mastoid obliteration in controlling persistent ear discharge, wax accumulation, fungal infection and granulation tissue formation in patients with cavity problems following modified radical mastoidectomy (MRM). Thirty patients underwent revision mastoidectomy with mastoid obliteration using a temporoparietal fascial flap. They were then followed up over a one-year period and the stated parameters observed. They were compared with 30 patients with similar complaints who were treated conservatively and kept under observation for 12 months. On follow-up, the number of patients in both the groups suffering from various cavity problems was compared. The chi-squared test was applied to the results and it was determined that there was a significantly lower incidence of discharging ear and formation of granulations in the operative group. However, audiological status, development of otomycosis and wax accumulation did not reveal any significant variation between the two groups.
Insights
Mastoid obliteration effectively reduced ear discharge and granulation tissue in patients with cavity issues after modified radical mastoidectomy (MRM). However, it did not significantly impact hearing, fungal infections, or wax accumulation.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Persistent cavity problems, including discharge, wax, fungal infections, and granulation tissue, can occur after modified radical mastoidectomy (MRM).
- These complications can negatively impact patient quality of life and require further intervention.
Purpose of the Study:
- To evaluate the efficacy of mastoid obliteration using a temporoparietal fascial flap in managing post-mastoidectomy cavity problems.
- To compare the outcomes of mastoid obliteration with conservative management in patients with MRM cavity issues.
Main Methods:
- A randomized clinical trial involving 60 patients with MRM cavity problems.
- Thirty patients underwent revision mastoidectomy with mastoid obliteration; 30 received conservative management.
- Follow-up over one year, assessing ear discharge, wax, fungal infection, granulation tissue, and audiological status.
Main Results:
- Mastoid obliteration significantly reduced the incidence of discharging ear and granulation tissue formation compared to conservative management.
- No significant differences were observed between the groups regarding audiological status, otomycosis (fungal infection), or wax accumulation.
Conclusions:
- Mastoid obliteration is an effective surgical option for controlling persistent ear discharge and granulation tissue in patients with post-MRM cavity problems.
- Further research may be needed to address hearing outcomes and other specific complications like fungal infections and wax accumulation.
