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Related Experiment Video

Updated: Mar 1, 2026

Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
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Bone wax extrusion through postauricular wounds: A case series.

Samantha M Baird1, Bing M Teh2, Kelvin K M Lim3

  • 1Department of Ear Nose and Throat/Head and Neck Surgery, Austin Health, Melbourne, Victoria.

The Laryngoscope
|June 1, 2017
PubMed
Summary

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Bone wax is a nonabsorbable hemostatic agent. Delayed migration and extrusion of bone wax can occur after mastoid surgery due to foreign body reactions.

Area of Science:

  • Otolaryngology
  • Surgical Pathology

Background:

  • Bone wax is a commonly used hemostatic agent in various surgical procedures, including mastoid surgery.
  • Its nonabsorbable nature, while effective for hemostasis, poses a risk for delayed complications.

Observation:

  • This report details two cases of delayed bone wax migration and extrusion through postauricular wounds.
  • These events occurred following mastoid surgery and were attributed to foreign body reactions and granuloma formation.

Findings:

  • Delayed extrusion of bone wax is a rare but significant complication following mastoid surgery.
  • Foreign body reactions and granuloma formation are implicated in the migration of nonabsorbable bone wax.

Implications:

  • The findings highlight the importance of considering potential long-term complications associated with bone wax use.

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  • Alternative hemostatic agents and surgical techniques may be considered to mitigate risks of delayed extrusion.