Modified radical mastoidectomy in chronic otitis media: year outcome post-surgery

Authors

  • Vaibhav J. Lahane Department ENT, Dr. Rajendra Gode Medical College, Amaravati, Maharashtra, India
  • Swati Mishra Department of ENT, GMERS Medical College, Vadnagar, Gujarat, India
  • Devanshi Modi Department of ENT, GMERS Medical College, Vadnagar, Gujarat, India
  • Sagar Jani Department of ENT, GMERS Medical College, Vadnagar, Gujarat, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20240054

Keywords:

MRM, COM, AB gap

Abstract

Background: Cholesteatoma is defined as erosive process, eroding ossicular chain, scutum, otic-capsule, fallopian canal and tegmun. Surgical management of cholesteatoma includes mastoidectomy. The aim of the study was to focuss on MRM: indications and outcomes of procedure.

Methods: This study aims at knowing the indications and outcome of MRM after 1 year in terms of success rate, efficacy and patient’s satisfaction. It involves study over 42 patients who underwent surgery and were followed over a period of one year post surgery.   

Results: After 1 year of MRM 64.27% showed hearing improvement, 95.2% had dry and settled cavity, and there was no post-operative facial palsy, and SNHL.

Conclusions: MRM is a procedure of choice for COM with extensive disease of mastoid. A meticulous and skilled MRM gives a well fashioned mastoid cavity with minimum or no recurrence/post-operative complications with a satisfactory hearing outcome.

References

Asma A, Shaharudin MH, Muhd Almyzan A, Lokman S. Outcome of canal wall down mastoidectomy: experience in sixty three cases. Med J Malaysia. 2013;68(3):217-21.

Prasad SC, La Melia C, Medina M, Vincenti V, Bacciu A, Bacciu S, et al. Long-term surgical and functional outcomes of the intact canal wall technique for middle ear cholesteatoma in the paediatric population. Acta Otorhinolaryngol Ital. 2014;34(5):354-61.

Siddiqui R. Surgery for otitis media with cholesteatoma: canal up versus canal down procedures. Semant Schol. 2005;4(2).

Ajalloueyan M. Experience with surgical management of cholesteatomas. Arch Otolaryngol Head Neck Surg. 2006;132(9):931-3.

Ajalloueya M. Surgery in Cholesteatoma: Ten years Follow-up. Iran J Med Sci. 2006;31(1).

Mukherjee P, Saunders N, Liu R, Fagan P. Long-term outcome of modified radical mastoidectomy. J Laryngol Otol. 2004;118(8):612-6.

Garap JP, Dubey SP. Canal-down mastoidectomy: experience in 81 cases. Otol Neurotol. 2001;22(4):451-6.

Karmarkar S, Bhatia S, Saleh E, DeDonato G, Taibah A, Russo A, et al. Cholesteatoma surgery: the individualized technique. Ann Otol Rhinol Laryngol. 1995;104(8):591-5.

Darrouzet V, Duclos JY, Portmann D, Bebear JP. Preference for the closed technique in the management of cholesteatoma of the middle ear in children: a retrospective study of 215 consecutive patients treated over 10 years. Am J Otol. 2000;21(4):474-81.

Michael P, Raut V. Chorda tympani injury: operative findings and postoperative symptoms. Otolaryngol Head Neck Surg. 2007;136(6):978-81.

Gurung U, Bhattarai H, Shrivastav RP. Taste disturbances following middle ear surgery. J Inst Med. 2010;32(3):18-23.

Just T, Homoth J, Graumüller S, Pau HW. Taste disorders and recovery of the taste function after middle ear surgery. Laryngorhinootologie. 2003;82(7):494-500.

Zeman F, Koller M, Figueiredo R, Aazevedo A, Rates M, Coelho C, et al. Tinnitus handicap inventory for evaluating treatment effects: which changes are clinically relevant? Otolaryngol Head Neck Surg. 2011;145(2):282-7.

Leonetti JP, Kircher ML, Jaber JJ, Benscoter BJ, Marmora JJ, Feustel PJ. Inner Ear Effects of Canal Wall Down Mastoidectomy. Otolaryngol Head and Neck Surg. 2011;146(4):621-6.

Thapa N, Shrivastav R. Complications of canal wall down mastoidectomy. J Nepal Med Assoc. 2003;42:15-8.

Garap JP, Dubey SP. Canal-down mastoidectomy: experience in 81 cases. Otol Neurotol. 2001;22(4):451-6.

Wormald PJ, Nilssen EL. Do the complications of mastoid surgery differ from those of the disease? Clin Otolaryngol Allied Sci. 1997;22(4):355-7.

Palva A, Sorri M. Can an operation of deaf ear be dangerous for hearing? Acta Otolaryngol Suppl. 1979;360:155-7.

Thiel G, Rutka JA, Pothier DD. The behavior of mastoidectomy cavities following modified radical mastoidectomy. Laryngoscope. 2014;124(10):2380-5.

Shrestha BL, Bhusal CL, Bhattarai H. Comparison of pre and post-operative hearing results in canal wall down mastoidectomy with type III tympanoplasty. JNMA J Nepal Med Assoc. 2008;47(172):224-7.

Kabdwal N, Varshney S, Bist SS. Pre and postoperative evaluation of hearing in chronic suppurative otitis media. Indian journal of otology. 2014;19:164-8.

Kumar BY, Vijay P, Tiwari N, Hotkar ST. Meningoencephalocoele in a mastoid cavity: a case report and review of literature. J Clin Diagn Res. 2015;9(1):MD03-4.

Khalil HS, Windle-Taylor PC. Canal wall down mastoidectomy: A long term commitment to the outpatients? BMC Ear Nose Throat Disord. 2003;3(1):1.

Downloads

Published

2024-01-25

Issue

Section

Original Research Articles