Irish Child Health Database - Peer Reviewed Papers
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Intraoperative findings in revision canal wall down mastoidectomy
Published in:
Ir Med J, Vol: 101, Page: 14
Publication Date:
January 2008
Aims & Objectives:
This study reviewed all cases of canal wall down mastoid requiring revision surgery at the Royal Victoria Eye and Ear Hospital over a 6 year period 1999-2004
Abstract:
Effective canal wall down mastoid surgery requires attention to certain key principles. We reviewed all cases requiring revision surgery at the Royal Victoria Eye and Ear Hospital over a 6 year period 1999-2004. Intraoperative findings which contributed to the need for revision surgery were identified. During this 6 year period 291 canal wall down mastoidectomies were performed. Thirty-seven were revision procedures. Nineteen (51%) cases were found to have recurrent or residual cholesteatoma. Sixteen (43%) cases had a high facial ridge, thirteen (35%) cases had an open middle ear. Nine (24%) cases had an inadequate meatus, 2 (5%) cases had a cavity sump. This study illustrated that a high facial ridge, an open middle ear segment, an inadequate meatoplasty and recurrent cholesteatoma were common intraoperative findings in this revision group. Eighty-nine percent of revision cases had dry, healed and safe cavities on follow up. Poor performance of the open technique is the most important factor in failure.
Authors:
Study Type:
Study Papers » Case Series Study » Descriptive Studies - Without a comparision
Categories:
canal wall down mastoid
International Classification:
Procedure - surgery for canal wall down mastoid
Keywords:
- Adolescent
- Adult
- Aged
- Child
- Child, Preschool
- Cholesteatoma, Middle Ear/epidemiology/ surgery
- Female
- Humans
- Male
- Mastoid/ surgery
- Middle Aged
- Otologic Surgical Procedures/methods/statistics & numerical data
- Recurrence
- Reoperation
- Retrospective Studies
- Treatment Outcome
Geography:
Republic of Ireland (Republic of Ireland)