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Periotic sensory dysfunction via postauricular approach after otitis media surgery.
Huiqian Yu1, Dan Wang1, Qingzhong Li1
1ENT Institute and Otorhinolaryngology Department, Affiliated Eye and ENT Hospital of Fudan University and Key Laboratory of Hearing Medicine, National Health Commission of the People's Republic of China (NHCPRC), Shanghai, People's Republic of China.
The Laryngoscope
|October 17, 2018
Summary
Nearly half of patients undergoing otitis media surgery experienced periotic sensory dysfunction, most commonly in the postauricular area. While most symptoms resolved within a year, pain recovered faster than numbness.
Area of Science:
- Otolaryngology
- Neurosurgery
- Surgical Outcomes
Background:
- Otitis media surgery, particularly via postauricular approaches, can lead to somatosensory disturbances in the auricle and surrounding skin.
- Understanding the incidence and characteristics of these dysfunctions is crucial for patient counseling and management.
Purpose of the Study:
- To assess the prevalence and nature of somatosensory dysfunction of the auricle and periotic skin following otitis media surgery.
Main Methods:
- A retrospective study involving 100 patients who underwent otitis media surgery.
- Postoperative questionnaires were administered at least one year after surgery to evaluate periotic somatosensory disturbances.
Main Results:
- 48% of patients reported periotic somatosensory dysfunction, with the postauricular region being the most affected (75%).
- Tactile hypoaesthesia/numbness was the most common abnormality (28%), followed by periotic pain (21%).
- Pain resolved significantly faster (4.07 months) than hypoaesthesia (7.36 months).
Conclusions:
- Patients undergoing otitis media surgery via postauricular approaches should be informed about the high likelihood of periotic sensory dysfunction.
- The postauricular and auricular regions are most susceptible. Pain is more resilient than tactile hypoaesthesia/numbness, but both generally resolve within a year.
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