Evaluation of Requirements for Staging the Procedure of Reconstruction of Middle Ear After Canal Wall Down Mastoidectomy
| Autor: | C. Ravishankar, R. K. Datta |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Ossicles business.industry medicine.medical_treatment Cholesteatoma Ear disease Tympanoplasty medicine.disease Facial paralysis Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis otorhinolaryngologic diseases Middle ear Medicine Original Article Tympanic cavity Tympanomastoidectomy sense organs 030223 otorhinolaryngology business |
| Zdroj: | Indian Journal of Otolaryngology and Head & Neck Surgery. 69:155-158 |
| ISSN: | 0973-7707 2231-3796 |
| DOI: | 10.1007/s12070-016-0990-4 |
| Popis: | Cholesteatoma is a progressive destructive ear disease which can affect any age group. It has been found to be more severe in children and young adults. It erodes the surrounding bone of middle ear, mastoid and ossicles. It causes partial to total deafness, unpleasant smelling discharge, pain, tinnitus, vertigo and facial paralysis. It can even cause meningitis, brain abscess and death. The post-operative outcome of hearing, and the state of the reconstructed middle-ear cavity after concurrent and staged reconstruction of middle ear after canal wall down mastoidectomy was studied in 30 ears with middle-ear cholesteatoma. The reconstructed middle ear was re-aerated in 60.5 % of the cases, which was significantly higher than for the epitympanum (39.5 %). Tympanoplasty was successful in terms of hearing results in 68.9 % of all subjects and in 75.4 % of the ears having a re-aerated tympanic cavity, which was significantly better than the 38.5 % for ears in which the tympanic cavity was not re-aerated. The findings of recurrent cholesteatoma, tympanic atelectasis, and tympanic effusion were observed with significantly (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink