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p class="abstract"> Background: Aims and objectives of the study were to find incidence and causes for postoperative mastoid cavity problems after modified radical mastoidectomy.
Methods: The present prospective study was conducted in the Department of ENT, SMGS Hospital, GMC Jammu from September 2017 to February 2020 on 25 patients with active squ...
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Objective:
Mastoidectomy is considered an aerosol-generating procedure. This study examined the effect of wearing personal protective equipment on the view achieved using the operating microscope.
Methods:
ENT surgeons assessed the area of a calibrated target visible through an operating microscope whilst wearing a range of personal protective e...
Citations
... The accumulation of wax is among the most frequently encountered and complex postoperative problems for patients who undergo a canal wall down mastoidectomy. 13 A large, deep cavity with a small meatoplasty can cause problems for the debris to be cleaned out of the cavity. Patients have to have their mastoid cavities cleaned up routinely. ...
Introduction
The surgical treatment of Chronic Otitis Media by modified radical mastoidectomy usually results in an open cavity, with chronic discharge, hearing loss of 30 to 40 dB, frequent visits to OPD for debris removal and none the less dizziness on cold air exposure. One way to deal with these issues effectively is to obliterate the mastoid cavity. In our study we used vascularised periosteo-temporofascial swing flap with medicated bone dust to obliterate the mastoid cavity.
Material and Methods
In this prospective study, 50 patients who suffered from chronic otitis media, active squamous (cholesteatoma) disease, and underwent modified radical mastoidectomy with tympanoplasty procedure were and split between two equally sized groups. Group 1 had patients with open mastoid cavity and Group 2 had obliteration of mastoid cavity using vascularised periosteo-temporofascial swing flap with medicated bone dust. Patients were followed at 3rd week, 6th week, 3rd month and 6th month.
Results
Patients with cavity obliteration had better and statistically significant outcomes in term of discharge status of cavity and epithelization at 3 weeks. Patients with obliteration also had positive and statistically significant results in hearing levels and hearing gain at 6 months follow up.
Conclusion
Mastoid cavity obliteration with vascularised periosteo-temporofascial swing flap with medicated bone dust is a good and effective method for better post-operative outcomes and curtailing dependency on doctors for cavity care.
... In one study by Rajan et al, 9 post-operative cavity complications were found in 26.92% patients. In study of Saraf et al, 10 total 25 patients underwent mastoidectomy, post-operative cavity problems were found in 36% patients and Sade et al 11 had 28% post mastoidectomy cavity problems and Kos et al 12 had 30% cavity problems. Khan et al 13 had 26.6% problem mastoid cavities. ...
... patients of age group 41-60 years. No association of cavity problems with age group was found with p value 0.2921.In study of Khan et al, 13 age range of the patients unresent mastoidectomy was 15-60 years and mean age was 29.8 ± 10.4.In one study by Saraf et al, 10 mean age of the patients was 29.4 years and most of the patients were 21-30 years. ...
Aim: To analyze the post mastoidectomy complications in patients presenting at tertiary care hospital. Methods: This case series study was conducted at Department of ENT, DG Khan Hospital, DG Khan from March 2020 to September 2020 over the period of 6 months. Total 65 patients came for open cavity mastoidectomy either male or female having age between 20-60 years were selected for this study. Results: In present study 65 patients had undergone open cavity mastoidectomy. Mean age of the patients was 39.95 ± 12.57 years. Out of 65 patients, cavity complications was found in 20 (31%) patients. Among the 20 patients who had cavity problems, the most common problem was prolonged discharge found in 19 (95%) patients followed by accumulation of wax in the cavity was found in 5 (25%) patients, Vertigo persisting beyond the immediate postoperative period was found in 3 (15%) patients, perichondritis of pinna was seen in 1 (5%) patients, development of facial palsy was found in 5 (50%) patients, recurrent cholesteatoma was found in 3 (15%) patients and wound infection was found in 2 (10%) patients. Conclusion: Results of present study showed higher rate of post operative complications after mastoidectomy. Sclerotic mastoid was most common. Higher rate of complications was seen after 40th decade of life. Most of the patients were male as compared to female. Prolonged discharge was the most common problem. Keywords: Mastoidectomy, Cavity, Meatoplasty, Pneumatisation, Cholesteatoma
