Analysis of long‑term anatomic results of radical mastoidectomy

The primary aim of treatment of cholesteatoma is to attain a dry, safe, stable ear, free of disease. Maintaining or improving hearing is important but the pursuit of a hearing result should not compromise this primary aim. This study reviews the long-term outcome of 133 patients, suffering from advanced disease, who underwent modified radical mastoidectomy between 1995 and 2000. Of these, 49 per cent had had previous mastoid surgery elsewhere. A dry, waterproof ear was attained in 95 per cent of patients. In 77 per cent of patients, hearing was unchanged or improved. In this period, there were two cases of significant post-operative loss in bone conduction, including one dead ear secondary to suppurative labyrinthitis. There were epithelial pearls on follow up in two per cent. These results indicate that when properly performed, modified radical mastoidectomy provides safe surgical access and clears disease with low recurrence rates while mostly maintaining or improving hearing.

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The Influence of the Surgical Technique Upon the Short Term and Long Term Anatomic Results in Reconstructive Operation for Renovascular Hypertension

The Journal of Urology ◽

10.1016/s0022-5347(17)40967-0 ◽

1989 ◽

Vol 141 (3 Part 1) ◽

pp. 688-688

Author(s):

J.H. van Bockel ◽

R. van Schilfgaarde ◽

E.H. Overbosch ◽

W. Felthuis ◽

J.L. Terpstra

Keyword(s):

Surgical Technique ◽

Renovascular Hypertension ◽

Short Term ◽

Reconstructive Operation ◽

Anatomic Results

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Modified Bondy radical mastoidectomy: long-term personal experience

The Journal of Laryngology & Otology ◽

10.1258/002221504323086499 ◽

2004 ◽

Vol 118 (5) ◽

pp. 333-337 ◽

Cited By ~ 3

Author(s):

Stefano Berrettini ◽

Francesca Ravecca ◽

Andrea De Vito ◽

Francesca Forli ◽

Simone Valori ◽

...

Keyword(s):

Personal Experience ◽

Ossicular Chain ◽

Hearing Level ◽

Radical Mastoidectomy ◽

Surgical Operation ◽

Effective Operation ◽

The University ◽

Radical Procedure

The ’Bondy operation’, or modified Bondy radical mastoidectomy, consists of a modification of the radical procedure by which the mastoid and epitympanum are exteriorized with preservation of the pars tensa and ossicular chain.In the 10-year period from 1986 to 1996, 53 patients of the ENT Department of the University of Pisa underwent a modified Bondy radical mastoidectomy, performed with a personalized procedure; 45 of them had a follow up of at least five years. After the surgical operation, the ears were free of complications in 38 cases (84.5 per cent), while in the other seven cases residual cholesteatoma (one case), tympanic retraction (four cases) or recurrent otorrhoea and phlogosis (two cases) were observed. The post-operative hearing level was unchanged or improved in 41 patients (91 per cent) (33 subjects had an unchanged gap and eight an improved gap), and only in the remaining four cases was the gap made worse. Based on our experience, the modified Bondy radical mastoidectomy is an extremely effective operation with a clear place in modern ENT surgery. When performed on carefully selected patients, it has been proven to offer good functional and anatomical results.

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ANATOMIC RESULTS AND COMPLICATIONS IN A LONG-TERM FOLLOW-UP OF PNEUMATIC RETINOPEXY CASES

Retina ◽

10.1097/00006982-200002000-00008 ◽

2000 ◽

Vol 20 (2) ◽

pp. 156-161 ◽

Cited By ~ 33

Author(s):

EMILIO ABECIA ◽

ISABEL PINILLA ◽

JOSÉ M. OLIVAN ◽

JOSÉ M. LARROSA ◽

VICENTE POLO ◽

...

Keyword(s):

Pneumatic Retinopexy ◽

Long Term Follow Up ◽

Anatomic Results

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Long-term results of external auditory canal closure and mastoid obliteration in cochlear implantation after radical mastoidectomy: a clinical and radiological study

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-013-2698-3 ◽

2013 ◽

Vol 271 (8) ◽

pp. 2127-2130 ◽

Cited By ~ 14

Author(s):

Vincenzo Vincenti ◽

Enrico Pasanisi ◽

Andrea Bacciu ◽

Salvatore Bacciu

Keyword(s):

External Auditory Canal ◽

Cochlear Implantation ◽

Long Term Results ◽

Radical Mastoidectomy ◽

Mastoid Obliteration ◽

Radiological Study

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

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20213899 ◽

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

Background: 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.Methods: 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.Results: 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.Conclusions: 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.

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Uticaj obima hirurske resekcije kod totalne laringektomije na uspostavljanje ezofagusnog glasa i govora

Acta chirurgica iugoslavica ◽

10.2298/aci0401037s ◽

2004 ◽

Vol 51 (1) ◽

pp. 37-41 ◽

Cited By ~ 1

Author(s):

P. Stankovic ◽

Vojko Djukic ◽

M. Vukasinovic ◽

Ljiljana Janosevic

Keyword(s):

Total Laryngectomy ◽

Surgical Intervention ◽

Functional Results ◽

Surgical Interventions ◽

Term Adverse Effect ◽

Anatomic Results ◽

Base Of The Tongue ◽

Voice And Speech

The study of functional results of total laryngectomy carmot be separated from articulation of esophageal voice and speech. To achieve success of phoniatric rehabilitation in laringectomized patients, it is necessary to be well aware of pathological sequelae of the veiy operation, long-term adverse effect of oncological risk factors as well as postoperative anatomo-physiological changes. Anatomic results of total laryngectomy depend on the type of surgical intervention and probable radiotherapy. The extent of surgical procedure, primary dictated by oncological indications, has the essential effect to articulation of esophageal voice and speech. If possible for oncological reasons, hyoid bone should be particularly left intact. Extensive surgical interventions of hypopharynx and the base of the tongue during laryngectomy, neck dissection - especially the radical one, and subsequent radiotherapy, all of them significantly reduce the possibility to produce esophageal voice and speech. Total laryngectomy eliminates the creator of voice and vibrations, which are acoustically perceived as esophageal voice, proceeding at the level of pharyngoesophageal junction. For this reason, the quality of newly created vibrating narrowing is especially important.

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