Some Clinical Remarks on Modified Radical Mastoidectomy for Chronic Purulent Otitis Media as Practiced by the Author

1925 ◽  
Vol 35 (8) ◽  
pp. 624
Author(s):  
Hugh B. Blackwell
Keyword(s):  
Otitis Media ◽  
Radical Mastoidectomy ◽  
Modified Radical Mastoidectomy

Subperiosteal Mastoid Abscesses in Chronic Suppurative Otitis Media

1988 ◽  
Vol 97 (4) ◽  
pp. 373-375 ◽  
Author(s):  
A. Olu Ibekwe ◽  
Benjamin C. C. Okoye
Keyword(s):  
Otitis Media ◽  
Acute Otitis Media ◽  
Chronic Otitis Media ◽  
Mastoid Cavity ◽  
Radical Mastoidectomy ◽  
Acute Mastoiditis ◽  
Suppurative Otitis Media ◽  
Modified Radical Mastoidectomy ◽  
Radiographic Investigation ◽  
The Ideal

In Europe and America, acute mastoiditis usually appears as a complication of acute otitis media, and some patients develop subperiosteal mastoid abscesses. In Nigeria, however, most subperiosteal mastoid abscesses develop from chronic otitis media with cholesteatoma. Of the 16 patients with subperiosteal mastoid abscesses discussed, 11 (69 %) had cholesteatoma and only five (31 %) had granulation tissue in the mastoid cavity. The ideal treatment for these cases is modified radical mastoidectomy. Radiographic investigation of the mastoid can be useful in the diagnosis of cholesteatoma in the presence of a subperiosteal mastoid abscess.

scholarly journals Double Trouble of Double Fistulae

Biomedicine ◽  
2021 ◽  
Vol 41 (1) ◽  
pp. 163-165
Author(s):  
Deviprasad Dosemane ◽  
Meera Niranjan Khadilkar ◽  
Shreyanshi Gupta ◽  
Pooja Nambiar ◽  
Ria Mukherjee
Keyword(s):  
Otitis Media ◽  
Semicircular Canal ◽  
Bone Erosion ◽  
Chronic Suppurative Otitis Media ◽  
Radical Mastoidectomy ◽  
Lateral Semicircular Canal ◽  
Suppurative Otitis Media ◽  
Labyrinthine Fistula ◽  
Modified Radical Mastoidectomy

The complications of attico-antral type of Chronic Suppurative Otitis Media (CSOM) are severe due to underlying bone erosion. We describe a case of a 40-year-old lady with attico-antral CSOM and mastoiditis with a postauricular fistula, who underwent modified radical mastoidectomy with excision of the postauricular cutaneous mastoid fistula. Interestingly, another fistula over the dome of lateral semicircular canal was noted intraoperatively.Few reports of occurrence of postauricular mastoid fistula with a labyrinthine fistula have been documented.

scholarly journals A rare case of Bezold’s abscess presenting as parapharyngeal abscess

2015 ◽  
Vol 1 (1) ◽  
pp. 48 ◽  
Author(s):  
Ameya Bihani ◽  
Jyoti P. Dabholkar
Keyword(s):  
Otitis Media ◽  
Rare Complication ◽  
Chronic Suppurative Otitis Media ◽  
Canal Wall ◽  
Radical Mastoidectomy ◽  
Suppurative Otitis Media ◽  
Incision And Drainage ◽  
Parapharyngeal Abscess ◽  
Modified Radical Mastoidectomy ◽  
Anterior Belly

<p class="abstract"><span lang="EN-US">Bezold’s abscess is a very rare complication of unsafe chronic suppurative otitis media. The diagnosis of Bezold’s abscess is clinched by the presence of inflammation which is tracking down the anterior belly of digastrics and sternocleidomastoid. Surgery constituting incision and drainage of abscess with canal wall modified radical mastoidectomy is treatment of choice. We hereby present a case of 42 year male presenting with parapharyngeal abscess (Bezold’s abscess) which was secondary to unsafe chronic suppurative otitis media.</span></p>

The unsafeness of ‘safe’ ears

1984 ◽  
Vol 98 (1) ◽  
pp. 23-26 ◽  
Author(s):  
G. G. Browning
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Cell System ◽  
The Other ◽  
Radical Mastoidectomy ◽  
Intracranial Abscess ◽  
Retraction Pocket ◽  
Mucosal Disease ◽  
Modified Radical Mastoidectomy ◽  
Brain Abscesses

AbstractActive chronic otitis media affects 0.5 per cent of adults and has two main variants. The first is when there is a squamous epithelial retraction pocket or cholesteatoma. The second variant is when the disease is primarily of the mucosa of the middle ear and mastoid air-cell system. Classically a cholesteatoma is considered ‘unsafe’ because of the risk of complications, particularly intracranial infectioa Mucosal disease, on the other hand, is considered ‘safe’ because complications are thought to be rare. Surgery in the form of a modified radical mastoidectomy is considered to make active chronic otitis media ‘safe’.A retrospective review of 26 consecutive brain abscesses considered secondary to active chronic otitis media revealed that a cholesteatoma was present in 12 (46 per cent), mucosal disease in 10 (38 per cent) and a modified radical mastoidectomy had been performed in four (15 per cent). Mucosal disease and a modified radical mastoidectomy should no longer be considered ‘safe’. However, the risk of developing an intracranial abscess from any type of active chronic otitis media is low, in the region of one in 3,500.

scholarly journals Mastoid cavity obliteration with bone dust: a retrospective study of 34 cases

2021 ◽  
Vol 7 (10) ◽  
pp. 1644
Author(s):  
Meenesh Juvekar ◽  
Baisali Sarkar
Keyword(s):  
Otitis Media ◽  
Mastoid Cavity ◽  
Canal Wall ◽  
Radical Mastoidectomy ◽  
Ossicular Reconstruction ◽  
Modified Radical Mastoidectomy ◽  
Canal Wall Down ◽  
Cavity Obliteration ◽  
Common Cavity

<p><strong>Background: </strong>Chronic suppurative otitis media leads to ear discharge with hearing loss with squamosal type often presents with cholesteatoma and mainstay of treatment is surgical. Modified radical mastoidectomy is the ideal surgical option in these cases but it results in open mastoid cavity formation with certain common cavity problems. This study done to find the results of mastoid cavity obliteration with autologous bone dust and how this technique is effective in avoiding long term cavity problems and assists in ossiculoplasty.</p><p><strong>Methods: </strong>This is a retrospective observational study done in a tertiary care hospital. Patients presented with squamosal type of chronic otitis media were operated for a canal wall down modified radical mastoidectomy.The mastoid cavity was obliterated using bone dust. A follow up of the patients was done and the healing of the cavity with the hearing result assessed.</p><p><strong>Results: </strong>The study includes total of 34 patients. 58.82% were male and 41.18% were female. All patients underwent canal wall down modified radical mastoidectomy and obliteration of the mastoid cavity was done with bone dust. The common cavity problems of discharge, debris were markedly reduced in an obliterated cavity with better healing of the cavity. The middle ear aeration was maintained assisting the ossicular reconstruction.</p><p><strong>Conclusions: </strong>This study showed that mastoid cavity obliteration with bone dust offers significant long term benefits in providing dry, well epithelized cavity at the same time assisting in ossicular reconstruction.</p>

Chronic Otitis Media and Cholesteatoma

1980 ◽  
Vol 89 (5_suppl) ◽  
pp. 47-49 ◽  
Author(s):  
G. O. Proud
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Limited Area ◽  
Radical Mastoidectomy ◽  
Simple Excision ◽  
Modified Radical Mastoidectomy ◽  
Serous Otitis Media

Cholesteatoma may arise because of a number of events, but serous otitis media appears to be the precursor in the majority of instances. Whether one enters into conservative, simple excision of the keratotic mass or a more extensive modified radical mastoidectomy or radical exteriorizing procedure will depend upon whether the cholesteatoma is in a very small “pearl-like” mass, confined to a limited area, or whether it is dispersed to the point where total eradication is all but impossible.

scholarly journals Evaluating Success of Surgery in Mucosal and Squamosal Chronic Otitis Media: A Retrospective Study

2018 ◽  
Vol 26 (2) ◽  
pp. 99-104
Author(s):  
Nilank Saroha ◽  
Nitin Tomar
Keyword(s):  
Hearing Loss ◽  
Retrospective Study ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Type I ◽  
Radical Mastoidectomy ◽  
Type Iii ◽  
Mucosal Disease ◽  
Modified Radical Mastoidectomy ◽  
Air Conduction

This study attempted to document success of surgery postoperatively, be it type I tympanoplasty or type III tympanoplasty with or without modified radical mastoidectomy. Materials and Methods This retrospective study involved 90 patients of Chronic Otitis Media who underwent surgery in the Department of Otorhinolaryngology in a tertiary care centre in the state of Uttar Pradesh.   Results                                At 3 week postoperatively, 83 patients (92.22%) had successful uptake of graft. Overall successful graft uptake was reduced to 87.78% (79 patients) after 3 months. Postoperatively, after 3 months, 90% of the patients (n=81) reported improvement in hearing. Preoperatively, 89.71 % patients of mucosal disease and 63.64% of squamosal disease had 21-40 dB hearing loss. Postoperatively, 88.24% patients with mucosal disease and 63.64% of squamosal disease had no conductive hearing loss. There was statistically significant gain in air conduction postoperatively. Average improvement in AB gap was also notably significant postoperatively in both subgroups. Conclusion Both type I and type III tympanoplasty give excellent response in term of graft uptake and postoperative hearing. Abbreviations: COM-Chronic Otitis Media, AC-Air Conduction, AB-Air Bone, TP-Tympanoplasty, MRM-Modified Radical Mastoidectomy

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