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Further experience with fat graft obliteration of mastoid cavities for cochlear implants

Published online by Cambridge University Press:  29 June 2007

R. F. Gray*
Affiliation:
East of England Cochlear Implant Programme, Addenbrooke's Hospital, Cambridge, UK
J. Ray
Affiliation:
East of England Cochlear Implant Programme, Addenbrooke's Hospital, Cambridge, UK
D. J. McFerran
Affiliation:
East of England Cochlear Implant Programme, Addenbrooke's Hospital, Cambridge, UK
*
Address for correspondence: Mr R. F. Gray, M. A., F.R.C.S., Consultant Otolaryngologist, Clinic 10, Box 48, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ

Abstract

Obliteration of old mastoids and wet middle ears with autologous abdominal fat seems to be a reliable technique to render chronically discharging mastoid cavities or open middle ears dry and closed. This paper is the third in the series and looks at the intermediate results at five years. Of the 16 patients (one bilateral) 94.1 per cent of the ears are still dry and uninfected with closed external meati. Recurrent cholesteatoma was found in two patients at implantation and removed.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1999

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References

Gray, R. F., Irving, R. M. (1995) Cochlear implants in chronic suppurative otitis media. American Journal of Otology 16: 682686.Google ScholarPubMed
Schuknecht, H. F., Chandler, J. R. (1984) Surgical obliteration of the tympanomastoid compartment and external auditory canal. Annals of Otology, Rhinology and Laryngology 93: 641645.CrossRefGoogle ScholarPubMed
Yung, M. M. W., Karia, K. R. (1997) Mastoid obliteration with hydroxyapatite – the value of high resolution CT scanning to detect recurrent cholesteatoma. Clinical Otolaryngology 22(6): 553557.CrossRefGoogle ScholarPubMed