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Radical revision mastoidectomy for chronic otitis media without cholesteatoma: the relevance of excenteration of all rest cells

Published online by Cambridge University Press:  29 June 2007

Jan Rombout  and
Bernard K. H. Pauw
Jan Rombout*
Affiliation:
ENT Department Dijkzigt Hospital, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Bernard K. H. Pauw
Affiliation:
ENT Department Dijkzigt Hospital, Erasmus University Medical Centre, Rotterdam, The Netherlands.
*
Address for correspondence: Jan Rombout, M. D., ENT-Department Dijkzigt Hospital, Erasmus University Medical Centre Rotterdam, PO Box 2040, 3000 CB Rotterdam, The Netherlands. Fax: +31 10 463 3102
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Abstract

Patients who, despite treatment, suffer persistent chronic otitis media (COM), a radical cavity and a hearing loss of more than 55 decibels for more than five years, can be classified as having an ‘endstage’ COM. It is generally agreed that retained infected residual cell tracts or a too small meatus are common causes for failure of surgery for COM. Radical revision mastoidectomy (RRM) aims to remove all residual cell tracts in the mastoid, in the middle-ear cleft, around the labyrinth and around the Eustachian tube. The mastoid cavity is obliterated with a pedicled muscle flap. Thus the mastoid cavity is reduced and selfcleansing is improved. The first 16 consecutive patients who underwent a RRM for ‘endstage’ COM were included in this study. In about 80 per cent the treatment resulted in a dry ear. We, therefore, conclude that RRM is an effective and safe method for treating ‘endstage’ COM.

Keywords

Otitis media, suppurativeSurgery, operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 8 , August 1999 , pp. 710 - 713
Copyright
Copyright © JLO (1984) Limited 1999

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