A Study of Canal Wall down Mastoidectomy with Soft-wall Reconstruction
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 12
Abstract
Introduction: CSOM is a common clinical disease seen in an outpatient setting which causes social disability due to accompanying hearing loss. Treatment may be medical or surgical but aims to limit the disease and improve hearing loss. Aim: Aim of this study is to evaluate the outcome of canal wall down (CWD) mastoidectomy with soft-wall reconstruction using cartilage in an unsafe ear. Method: Prospective study conducted in 38 patients who had the atticoantral disease (cholesteatoma and granulations in attic). Clinical examination, pure tone audiogram was done before and after surgery. Results: Of 38 patients 84% had significant hearing improvement following surgery. After surgery, 79% showed well-healed ear with 10% showing no significant hearing outcome. 8% had ear discharge after surgery while 2% showed recurrence. Conclusion: Early identification of cholesteatoma and intervention with soft-wall reconstruction lead to auditory and cosmetic improvement.
Authors and Affiliations
C Ravikumar, K Priyatharisini, M Senthil Kanitha, D Rajkamal Pandian, Heber Anandan
Keywords
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