Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-16T13:22:33.776Z Has data issue: false hasContentIssue false
  • English
  • Français

Cortical mastoidectomy in quiescent, tubotympanic, chronic otitis media: is it routinely necessary?

Published online by Cambridge University Press:  10 October 2008

K V Bhat ,
K Naseeruddin ,
U S Nagalotimath ,
P R Kumar  and
J S Hegde
K V Bhat*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, India
K Naseeruddin
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Vijayanagar Institute of Medical Sciences, Bellary, India
U S Nagalotimath
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, India
P R Kumar
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, India
J S Hegde
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, India
*
Address for correspondence: Dr Vikram Bhat K, 102 Arvind Apartments, Kalyan-nagar, Hubli 580031, Karnataka, India. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

This study aimed to compare outcomes for mastoidotympanoplasty and for tympanoplasty alone in cases of quiescent, tubotympanic, chronic, suppurative otitis media.

Study design:

Single-blinded, randomised, controlled study within a tertiary referral hospital.

Methods:

Sixty-eight cases were randomly allocated into two groups. In group one, 35 ears underwent type one tympanoplasty along with cortical mastoidectomy. In group two, 33 ears underwent type one tympanoplasty alone. Outcome measures were as follows: perforation closure and graft uptake, hearing improvement, disease eradication, and post-operative complications.

Results:

There were no statistically significant differences in hearing improvement, tympanic perforation closure, graft uptake or disease eradication, comparing the two groups at three and six months post-operatively.

Conclusion:

Mastoidotympanoplasty was not found to be superior to tympanoplasty alone over a short term follow-up period. Hence, it may not be necessary to undertake routine mastoid exploration at this stage of disease.

Keywords

Chronic Otitis MediaTympanoplastyMastoidectomyTympanic Membrane Perforation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 4 , April 2009 , pp. 383 - 390
Copyright
Copyright © JLO (1984) Limited 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Altman, DG, Schulz, KF, Moher, D, Egger, M, Davidoff, F, Elbourne, D et al. The revised CONSORT statement for reporting randomized trials: explanation and elaboration. Ann Intern Med 2001;134:663–94CrossRefGoogle ScholarPubMed
2 Holmquist, J, Bergstrom, B. The mastoid air cell system in ear surgery. Arch Otolaryngol 1978;104:127–9CrossRefGoogle ScholarPubMed
3 Jackler, AK, Schindler, RA. Role of the mastoid in tympanic membrane reconstruction. Laryngoscope 1984;94:495–500CrossRefGoogle ScholarPubMed
4 Lau, T, Tos, M. Long term results of surgery for chronic granulating otitis. Am J Otolaryngol 1986;7:341–5CrossRefGoogle ScholarPubMed
5 Vartiainen, E, Kansanen, M. Tympanomastoidectomy for chronic otitis media without cholesteatoma. Otolaryngol Head Neck Surg 1992;106:230–4CrossRefGoogle ScholarPubMed
6 Ruhl, CM, Pensak, ML. Role of aerating mastoidectomy in non cholesteatomatous chronic otitis media. Laryngoscope 1999;109:1924–7CrossRefGoogle Scholar
7 Krishnan, A, Reddy, EK, Chandrakiran, C, Nalinesha, KM, Jagannath, PM. Tympanoplasty with and without cortical mastoidectomy – a comparative study. Indian Journal of Otolaryngology Head and Neck Surgery 2002;54:195–8CrossRefGoogle ScholarPubMed
8 Nayak, DR, Balakrishnan, R, Hazarika, P, Mathew, PT. Role of cortical mastoidectomy in the results of myringoplasty for dry tubotympanic disease. Indian Journal of Otology 2003;9:11–15Google Scholar
9 Pratt, L. Management of mastoid air cell system in chronic otitis media. Laryngoscope 1976;86:674–81CrossRefGoogle ScholarPubMed
10 Balyan, FR, Celikkanat, S, Aslan, A, Taibah, A, Russo, A, Sanna, M. Mastoidectomy in noncholesteatomatous chronic suppurative otitis media: is it necessary? Otolaryngol Head Neck Surg 1997;117:592–5CrossRefGoogle ScholarPubMed
11 Mishiro, Y, Sakagami, M, Takahashi, Y, Kitahara, T, Kajikawa, H, Kubo, T. Tympanoplasty with and without mastoidectomy for non cholesteatomatous chronic otitis media. Eur Arch Otorhinolaryngol 2001;256:13–15CrossRefGoogle Scholar
12 McGrew, BM, Jackson, G, Glasscock, ME. Impact of mastoidectomy on simple tympanic membrane perforation repair. Laryngoscope 2004;114:506–11CrossRefGoogle ScholarPubMed
13 Mutoh, T, Adachi, O, Tsuji, K, Okunaka, M, Sakagami, M. Efficacy of mastoidectomy on MRSA infected chronic otitis media with tympanic membrane perforation. Auris Nasus Larynx 2007;34:9–13CrossRefGoogle ScholarPubMed
14 Kverner, KJ, Tambs, K, Harris, JR, Mair, MWS, Magnus, P. Otitis media: relationship to tonsillitis, sinusitis and atopic diseases. Int J Ped Otorhinolaryngol 1996;35:127–41CrossRefGoogle Scholar
15 Bylander, A, Tjernstorm, O. Changes in Eustachian tube function with age in children with normal ears. Acta Otolaryngol (Stockh) 1983;96:467–77Google ScholarPubMed
16 Smith-Vaughan, H, Byun, R, Nadakarni, M, Jacques, NA, Hunter, N, Halpin, S et al. Measuring nasal bacterial load and its association with otitis media. BMC Ear, Nose, Throat Disorders 2006;6:10Google ScholarPubMed
17 Sade, J, Berco, E, Brown, M, Weinberg, J, Avraham, S. Myringoplasty: short and long term results in a training program. J Laryngol Otol 1981;95:653–65CrossRefGoogle Scholar
18 Booth, JB. Myringoplasty: the lessons of failure. J Laryngol Otol 1974;88:1223–36CrossRefGoogle ScholarPubMed
19 Glasscock, ME 3rd, Jackson, CG, Nissen, AJ, Schwaber, MK. Postauricular undersurface tympanic membrane grafting: a follow up report. Laryngoscope 1982;92:718–27CrossRefGoogle ScholarPubMed
20 Blakley, BW, Kim, S, VanCamp, M. Preoperative hearing predicts postoperative hearing. Otolaryngol Head Neck Surg 1998;118:559–63CrossRefGoogle Scholar