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van der Toom HFE, van der Schroeff MP, Molenaar TL, et al. Revision surgery for chronically discharging mastoid cavities: mastoid obliteration with canal wall reconstruction versus non-obliteration surgery. Eur Arch Otorhinolaryngol. 2021;doi: 10.1007/s00405-021-07138-0.
van der Toom, H. F. E., van der Schroeff, M. P., Molenaar, T. L., Metselaar, M., van Linge, A., Vroegop, J. L., & Pauw, R. J. (2021). Revision surgery for chronically discharging mastoid cavities: mastoid obliteration with canal wall reconstruction versus non-obliteration surgery. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, . https://doi.org/10.1007/s00405-021-07138-0
van der Toom, Hylke F E, et al. "Revision surgery for chronically discharging mastoid cavities: mastoid obliteration with canal wall reconstruction versus non-obliteration surgery." European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery vol. (2021). doi: https://doi.org/10.1007/s00405-021-07138-0
van der Toom HFE, van der Schroeff MP, Molenaar TL, Metselaar M, van Linge A, Vroegop JL, Pauw RJ. Revision surgery for chronically discharging mastoid cavities: mastoid obliteration with canal wall reconstruction versus non-obliteration surgery. Eur Arch Otorhinolaryngol. 2021 Oct 27; doi: 10.1007/s00405-021-07138-0. Epub 2021 Oct 27. PMID: 34705081.
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Eur Arch Otorhinolaryngol. 2021 Oct 27; doi: 10.1007/s00405-021-07138-0. Epub 2021 Oct 27.

Revision surgery for chronically discharging mastoid cavities: mastoid obliteration with canal wall reconstruction versus non-obliteration surgery.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

Hylke F E van der Toom, Marc P van der Schroeff, Tim L Molenaar, Mick Metselaar, Anne van Linge, Jantien L Vroegop, Robert J Pauw

Affiliations

  1. Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands. [email protected].
  2. Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.

PMID: 34705081 DOI: 10.1007/s00405-021-07138-0

Abstract

PURPOSE: To evaluate the surgical results of revision canal wall down (CWD) surgery for chronically discharging mastoid cavities and to compare the non-obliteration approach to mastoid obliteration with canal wall reconstruction.

METHODS: This is a retrospective cohort study. All adult patients (≥ 18 years) who underwent revision surgery for chronically draining mastoid cavities between January 2013 and January 2020 were included. Primary outcome measures included the dry ear rate, complications and postoperative hearing.

RESULTS: 79 ears were included; 56 ears received revision CWD with mastoid obliteration and posterior canal wall reconstruction and 23 ears received CWD without mastoid obliteration. The dry ear rate at the most recent outpatient clinic visit (median 28.0 months postoperative) was significantly higher in the obliteration group with 96.4% compared to 73.9% for the non-obliteration group (p = .002). There were no differences in audiological outcome and incidence of complications between the two techniques.

CONCLUSION: We show that in our study population revision CWD surgery with mastoid obliteration and posterior canal wall reconstruction is superior to revision CWD surgery without mastoid obliteration in the management of chronically discharging mastoid cavities. In the obliteration group, a dry ear was achieved in 96.4% as this was 73.9% in the non-obliteration group. We found no differences in audiological outcome and in incidence of complications between the two techniques.

© 2021. The Author(s).

Keywords: Cholesteatoma; Mastoid bowl; Mastoid cavity; Obliteration; Otitis; Revision

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