Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-05T13:09:42.328Z Has data issue: false hasContentIssue false
  • English
  • Français

Management of retraction pockets of the pars tensa

Published online by Cambridge University Press:  29 June 2007

Robert P. Mills
Robert P. Mills*
Affiliation:
Dundee
*
Mr R. P. Mills, Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY.
Get access Rights & Permissions [Opens in a new window]

Abstract

A study of 73 patients with retraction pockets of the pars tensa (93 affected ears) has been carried out. Of these 32 per cent had otalgia and 31 per cent reported episodes of aural discharge. Adequate audiometric data was available on 75 ears. Mean air-bone gaps were calculated using 500 Hz, 1000 Hz, 2000 Hz and 4000 Hz. Thirty per cent of ears had air-bone gaps of less than 10 dB and in 93 per cent the air-bone gap was less than 30 dB. Air-bone gaps of more than 40 dB were found in seven per cent. Of this group, seven patients were selected for surgical treatment. In all cases the retraction pockets were elevated and everted. In six cases, the thinned tympanic membrane was reinforced with a composite graft of cartilage and perichondrium. This technique has also been used in three patients not included in this study group. An ossiculoplasty was performed in four cases. In the early months, the retraction pockets remained completely everted. However, by 12 months some degree of retraction had recurred in four of the six patients who have been followed for more than 12 months.

Keywords

Tympanic membraneOtitis media
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 7 , July 1991 , pp. 525 - 528
Copyright
Copyright © JLO (1984) Limited 1991

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

Arving, J. (1963) Some problems concerning the prognosis and treatment of chronic adhesive otitis media and of serous otitis media. Ada Otolaryngologica, Supplement 188: 75–76.Google Scholar
Glasscock, M., Jackson, C. G., Schwaber, M. K. (1987) Chronic ear disease: surgical decisions and techniques. American Academy of Otolaryngology-Head and Neck Surgery Instructional Course 1338.Google Scholar
Grahne, B. (1964) Simple mastoidectomy with air chamber creation in progressive adhesive otitis. Ada Otolaryngologica, 58: 258–270.Google ScholarPubMed
Palva, T. (1963) Surgical management of chronic adhesive otitis media. Ada Otolaryngologica, Supplement 188: 70–74.Google Scholar
Sade, J. (1979) The atelectatic ear. In Secretory otitis media and its sequelae. (Sade, J. ed.) Churchill-Livingstone, London, p. 64–88.Google Scholar
Sirala, U. (1963) Pathogenesis and treatment of adhesive otitis. Ada Otolaryngologica, Supplement 188: 9–18.Google Scholar
Tos, M. (1987) Incidence, aetiology and pathogenesis of cholesteatoma in children. In Pediatric Otology (Cremers, C. and Hoogland, G., Eds.) Karger: Basel, p. 110–117.Google Scholar