Surgical Outcome of Mastoid Cavity Obliteration with Bone Dust versus Open Cavity in Canal Wall down Mastoidectomy - A Comparitive Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Background: Chronic suppurative otitis media (CSOM) is a long standing infection of a part or whole of the middle ear cleft characterized by ear discharge and a permanent perforationˡ. The concept of mastoid obliteration promotes healing of a mastoidectomy defect at an early phase. Objective To analyse the surgical outcomes of mastoid cavity obliteration with bone dust/ pate compared to open cavity. By employing the technique of obliteration for improving cavity healing period, otorrhea, giddiness and wax formation were assessed. Study design: Prospective, Randomized, Comparative study. Methods: After informed consent,this study was conducted on 40 subjects who are diagnosed of active squamous chronic otitis media. The patients were randomly divided into two groups of 20 each. The group of 20 controls with an open mastoid cavity and another group of 20 cases, the mastoid cavity was obliterated with bone paté stabilised with a musculoperiosteal fap. Healing of the cavity and the associated cavity problems in terms of cavity healing period, discharge, giddiness and wax formation, were assessed. Results: The incidence of ear discharge, giddiness and wax formation were markedly reduced in obliterated cavities as compared to the open cavities. Healing of the cavity as evidenced by early epithelialisation, at the end of 3 months, was better in those ears where cavity was obliterated (95%) as compared to those left unobliterated(75%).. Conclusion:This study shows that mastoidectomy with obliteration using bone paté offers a reduced incidence of discharge, giddiness and wax formation.. STATISTICAL ANALYSISAll the results were analysed by TEST STATISTICS: CHI SQUARE
Authors and Affiliations
Sanjay Kumar . K, Indra . T, Vignesh . S, Sheeba . A. B
Keywords
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- EP ID EP374576
- DOI 10.9790/0853-1705060510.
- Views 79
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