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195586

The role of Grafting in Canal Wall down Mastoidectomy Comparative Study

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Otorhinolaryngology

Abstract

Background: Radical mastoidectomy is the outstanding standard technique for management of cholesteatoma. Long term studies showed increasing incidence of discharging cavities . Modified radical mastoidectomy was described to prevent recurrent cholesteatoma along with reconstruction of the ossicular hearing mechanismre. Exteriorization of the disease bearing areas is essential for effective follow up. However, there are many recesses which cannot be exteriorized regarding its anatomical location such as the mesotympanum. It will be a source of discharge or accumulation of keratin. Covering these recesses by grafting is an essential rather than optional step in all radical mastoidectomies to prevent problematic cavities.
Aim of work: Demonstrate the necessity of grafting in radical mastoidectomy for obtaining dry cavity.
Patients and methods: A prospective, comparative study conducted from March 2016 to October 2019 on 60 cholesteatoma patients. Patients were randomized into 2 equal groups of 30 patients each. In group A, patients undergone modified radical mastoidectomy with grafting, while patients in group B have undergone radical mastoidectomy without grafting. Regular follow up was done monthly for 1 year for both groups.
Results: In group A, 22 patients have intact grafts, and dry well epithelialized cavities, 2 patients had perforated grafts, 5 patients had small discharging granulations and 1 patient had a keratin pearl under the graft. In group B, 19 patients suffered persistent discharging cavity , 8 patients had less discharge with keratin debris and granulations and 3 patients had dry cavities.
Conclusion: Grafting is an essential step in radical mastoidectomy to prevent cavity problems.

DOI

10.21608/zumj.2021.90303.2315

Keywords

Keywords: Dry radical cavity, Grafting radical cavity, Contact inhibition

Authors

First Name

essam

Last Name

mohammed

MiddleName

fathy

Affiliation

assistant professor of ENT ,hearing and speech institute , Imbaba

Email

essament2014@gmail.com

City

-

Orcid

-

First Name

alaaedein

Last Name

farouk

MiddleName

-

Affiliation

specialist in hearing and speech institute

Email

dralaaghani@hotmail.com

City

-

Orcid

-

First Name

Wael

Last Name

Alzamel

MiddleName

-

Affiliation

assistant prof. of otolaryngology.EAR, NOSE AND THROAT DEPARTMENT, HEARING AND SPEECH INSTITUTE, GENERAL ORGANIZATION FOR TEACHING HOSPITALS AND INSTITUTES, EGYPT.

Email

dr_waelzamil25@yahoo.com

City

-

Orcid

-

Volume

30

Article Issue

3

Related Issue

46681

Issue Date

2024-05-01

Receive Date

2021-08-14

Publish Date

2024-05-01

Page Start

698

Page End

707

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_195586.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=195586

Order

9

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

The role of Grafting in Canal Wall down Mastoidectomy Comparative Study

Details

Type

Article

Created At

30 Dec 2024