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Canal wall down mastoidectomy: causes of failure, pitfalls and their management

Published online by Cambridge University Press:  29 June 2007

Sanjaya Bhatia ,
Sandeep Karmarkar ,
Giuseppe DeDonato ,
Cemil Mutlu ,
Abdelkader Taibah ,
Alessandra Russo  and
Mario Sanna
Sanjaya Bhatia*
Affiliation:
Clinical Research Fellows, Piacenza, Italy.
Sandeep Karmarkar
Affiliation:
Clinical Research Fellows, Piacenza, Italy.
Giuseppe DeDonato
Affiliation:
Clinical Research Fellows, Piacenza, Italy.
Cemil Mutlu
Affiliation:
Clinical Research Fellows, Piacenza, Italy.
Abdelkader Taibah
Affiliation:
Gruppo Otologico, Piacenza, Italy.
Alessandra Russo
Affiliation:
Gruppo Otologico, Piacenza, Italy.
Mario Sanna
Affiliation:
Gruppo Otologico, Piacenza, Italy.
*
Dr Mario Sanna, Gruppo Otologico, Via Emmanueli, 42, 29100 Piacenza, Italy. Fax: 39 523 453708
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Abstract

Managing patients with failed canal wall down mastoidectomy, requires a meticulous approach to control the disease and restore hearing. The present article reviews the causes of failure of the primary procedure and pitfalls encountered in 105 patients referred to our centre for revision canal wall down mastoidectomy. At post-revision surgery there were no cases with residual or recurrent cholesteatoma. The failures in our revision procedure were due to tympanic membrane perforation which occurred in five percent (n = 4) and intermittent otorrhoea in two percent (n = 2). A dry cavity with adequate middle ear space allowed for optimum audiological function even in revision canal wall down procedures.

Keywords

CholesteatomaMastoid, surgery, revision
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 7 , July 1995 , pp. 583 - 589
Copyright
Copyright © JLO (1984) Limited 1995

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