#Mastoid obliteration free

We show the recurrent and residual disease rates after either CWU or CWD tympanoplasty with mastoid obliteration to be qualitatively similar to, if not better than, previously reported rates of for nonobliterative techniques. In CWU tympanoplasty with mastoid obliteration, these rates were 0.28% and 4.2%, respectively and in CWD tympanoplasty with mastoid obliteration, 5.9% and 5.8%, respectively. Of the 1534 patients who underwent CWD or CWU tympanoplasty with mastoid obliteration, the rate of recurrent disease was 4.6%, and the rate of residual disease was 5.4%. After assessing these remaining articles for methodological quality and relevance to the current topic, another 8 studies were excluded, and a total of 13 studies (1534 patients) were included. The full-text articles of the remaining 146 citations were assessed for eligibility, resulting in 22 articles. The searches identified a total of 336 potentially relevant publications 190 articles were excluded based on title and abstract. The methodological quality was determined using the methodological index for nonrandomized studies (MINORS) scale, and the relevance to the current topic was determined using a 4-criterion checklist. Each study was reviewed by 2 independent reviewers on predetermined eligibility criteria. The initial search was conducted in December 2016 and was updated in July 2017. To systematically review the literature on recurrent and residual cholesteatoma rates after single-stage CWU and CWD tympanoplasty with mastoid obliteration.Ī systematic search of literature was performed to identify relevant publications in multiple electronic databases. A more recently propagated surgical approach, to combine the CWD or CWU tympanoplasty technique with obliteration of the mastoid and epitympanum, is showing promising results. Cavity obliterated with bone dust and flap had better and early epithelialisation as compared to cartilage.The ideal surgical treatment of cholesteatoma has been subject to discussion for years because both traditional surgical techniques (canal wall down and canal wall up tympanoplasty) have their own advantages and disadvantages. Healing of cavity was better in obliterated ears. Results and conclusions: Incidence of discharge, debris, giddiness, pain was reduced in obliterated cavities. The mastoid cavity was obliterated with either cartilage/bone dust/flaps Scientific design-prospective study. Materials and methods: This study was conducted on 30 subjects having evidence of attico-antral type of disease in middle ear cleft.

#Mastoid obliteration free

The vast majority of obliteration techniques consist of either local flaps (muscle, periosteum, or fascia) or free grafts (bone. Over the course of this century, there have been numerous reports detailing a variety of techniques of obliterating the mastoid cavity. Aims and objectives: To study surgical results of mastoid obliteration, efficacy of different methods of mastoid obliteration, cavity problems and the need of cavity care. The concept of mastoid obliteration was first introduced in 1911 by Mosher to promote healing of a mastoidectomy defect 1. Mastoid obliteration is done to eliminate the cavity related problems. Introduction: We aim to evaluate the surgical outcome of cavity obliteration with bioactive glass in patients with cholesteatoma undergoing canal wall-down. It results in the formation of a mastoid cavity which has various problems. Several methods have been tried and tested to achieve this goal with. The open mastoidectomy technique has been the mainstay of management of chronic ear disease however this type of surgery is not without its problem. The aim of cholesteatoma surgery is to obtain a safe, dry and self-cleaning ear. Findings In this systematic review of 22 articles, 1534 patients underwent a canal wall down or canal wall up tympanoplasty with mastoid obliteration with an overall recurrent disease rate of 4.6 and an overall residual disease rate of. The mainstay of treatment for cholesteatoma is surgery and the surgical treatment of choice is modified radical mastoidectomy. Question What are the recurrent and residual cholesteatoma rates after canal wall up and canal wall down tympanoplasty with mastoid obliteration. Introduction: A chronic discharging ear has been a challenge for the otologists for centuries.