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Mastoidectomy in the elderly.

Lela Migirov1, Sergei Weissburd, Michael Wolf

  • 1Department of Otolaryngology - Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel. migirovl@gmail.com

ORL; Journal for Oto-Rhino-Laryngology and Its Related Specialties
|May 1, 2010
PubMed
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Mastoid surgery in elderly patients is often urgent, primarily for complications of chronic otitis media (COM) or malignant otitis externa (MOE). These conditions frequently involve serious issues like meningitis or facial nerve paralysis.

Area of Science:

  • Otolaryngology
  • Geriatric Medicine
  • Surgical Outcomes

Background:

  • Mastoid surgery indications in elderly patients are not well-defined.
  • Geriatric populations may have unique challenges and outcomes following otologic surgery.

Purpose of the Study:

  • To outline the specific conditions that necessitate mastoid surgery in patients aged 65 and older.
  • To analyze the etiologies and outcomes of mastoidectomy in a geriatric cohort.

Main Methods:

  • Retrospective chart review of patients aged 65-90 who underwent mastoidectomy.
  • Analysis of surgical indications, diagnoses, and postoperative complications.

Main Results:

  • Twenty-seven elderly patients underwent mastoidectomy for chronic otitis media (COM) with or without cholesteatoma, otogenic meningitis, or malignant otitis externa (MOE).

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  • Urgent surgery was required for intracranial (meningitis, brain abscess) and extracranial complications (labyrinthitis, facial nerve paralysis).
  • Outcomes were mixed, with limited facial nerve function recovery and instances of hearing loss, recurrent cholesteatoma, and chronic otorrhea.

    • Conclusions:

    • Mastoidectomy in geriatric patients is predominantly an urgent procedure driven by complications of acute/COM or MOE.
    • The findings highlight the critical need for timely surgical intervention in elderly patients with severe otologic conditions.