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Early complications of surgery for chronic otitis media

Published online by Cambridge University Press:  29 June 2007

P. J. D. Dawes
P. J. D. Dawes*
Affiliation:
Department of Otolaryngology, Sunderland Royal Hospital, Sunderland, UK.
*
Address for correspondence: Mr P. J. D. Dawes, ENT Department, Dunedin Hospital, 201 Great King Street, Dunedin, New Zealand. Fax: 00 64 3 474 7956
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Abstract

This audit report details early post-operative complications following surgery for chronic otitis media. One hundred and forty-five cases were assessed. There were no facial nerve palsies, a bone conduction threshold elevation occurred in 4.6 per cent of cases. A wound infection occurred in six per cent of cases as did BIPP allergy. Twenty-six per cent of patients reported symptoms consistent with chorda tympani trauma. Short-lived symptoms of jaw discomfort were reported by 46 per cent of patients and imbalance or vertigo by 10 per cent of patients. The findings are compared with other published reports of complications following ear surgery.

Keywords

Ear, middleSurgery, operativeComplications
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 9 , September 1999 , pp. 803 - 810
Copyright
Copyright © JLO (1984) Limited 1999

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References

Adkins, W. Y., Osguthorpe, J. D. (1983) Mini-craniotomy for management of CSF otorrhoea from tegmen defects. Laryngoscope 93: 1038–1040.CrossRefGoogle ScholarPubMed
Arnold, S. M. (1974) The vulnerability of the chorda tympani nerve to middle ear disease. Journal of Laryngology and Otology 88: 457–466.CrossRefGoogle ScholarPubMed
Bagger-Sjoback, D., Mendel, L., Nord, C. E. (1987) The role of prophylactic antibiotics in middle ear surgery. American Journal of Otology 8: 519–523.Google ScholarPubMed
Beeden, A. G., Marsden, C. D., Meadows, J. C., Michael, F. W. (1969) Intracranial complications of middle ear disease and mastoid surgery. Journal of Neurological Sciences 9: 261–272.CrossRefGoogle ScholarPubMed
Browning, G. G., Gatehouse, S., Swann, I. (1991) The Glasgow Benefit Plot: A new method for reporting benefits from middle ear surgery. Laryngoscope 101: 180–185.CrossRefGoogle ScholarPubMed
Bull, T. R. (1965)Taste and the chorda tympani. Journal of Laryngology and Otology 79: 479–493.CrossRefGoogle Scholar
Canalis, R. F., Gussen, R., Abemayor, E., Andrews, J. (1987) Surgical trauma to the lateral semicircular canal with preservation of hearing. Laryngoscope 97: 575–581.CrossRefGoogle Scholar
Carlin, W. V., Lesser, T. H. J., John, D. G., Fielder, C., Carrick, D. G., Thomas, P. L., Hill, S. (1987) Systemic antibiotic prophylaxis and reconstructive ear surgery. Clinical Otolaryngology 12: 441–446.CrossRefGoogle ScholarPubMed
Chilla, R., Bruner, M., Arglebe, C. (1979) Function of the submaxillary gland following iatrogenic damage to the chorda tympani nerve. Acta Otolaryngologica 87: 152–155.CrossRefGoogle Scholar
Cullen, J. R., Kerr, A. G. (1986) Iatrogenic fenestration of a semicircular canal: A method of closure. Laryngoscope 96: 1168–1169.CrossRefGoogle ScholarPubMed
Dammeijer, P. F., McCombe, A. W. (1991) Meningitis from canine Pasteurella multocida following mastoidectomy. Journal of Laryngology and Otology 105: 571–572.CrossRefGoogle ScholarPubMed
Deka, R. C. (1988) Facial palsy and mastoid surgery. Ear, Nose and Throat Journal 67: 531–536.Google ScholarPubMed
Donaldson, J. A., Snyder, I. S. (1966) Prophylactic chemotherapy in myringoplasty surgery. Laryngoscope 76: 1201–1214.CrossRefGoogle Scholar
East, C. A., Brough, M. D., Grant, H. R. (1991) Mastoid obliteration with the temporoparietal fascia flap. Journal of Laryngology and Otology 105: 417–420.CrossRefGoogle ScholarPubMed
English, G. M., Hildyard, V. H., Hemenway, W. G., Davidson, S. (1971) Autograft and homograft transpositions in chronic otitis media. Laryngoscope 81: 1434–1447.CrossRefGoogle ScholarPubMed
Fenton, J. E., Fagan, P. A. (1995) Letter-Iatrogenic facial nerve injury. Laryngoscope 105: 444.CrossRefGoogle ScholarPubMed
Formby, M. L. (1971) Hazards in ear, nose and throat surgery. Journal of Laryngology and Otology 85: 683–702.CrossRefGoogle ScholarPubMed
Girgis, B. A., Seigler, J. (1985) Nominal aphasia following a radical mastoidectomy. Journal of Laryngology and Otology 100: 595–597.CrossRefGoogle Scholar
Glasscock, M. E., Johnson, G. D., Poe, D. S. (1990) Surgical management of cholesteatoma in an only hearing ear. Otolaryngology – Head and Neck Surgery 102: 246–250.CrossRefGoogle Scholar
Green, J. D., Shelton, C., Brackman, D. E. (1995) Letter-Iatrogenic facial nerve injury. Laryngoscope 105: 444–445.CrossRefGoogle Scholar
Govaerts, P. J., Raemaekers, J., Verlinden, A., Kalai, M., Somers, T., Offeciers, F. E. (1998) Use of antibiotic prophylaxis in ear surgery. Laryngoscope 108: 107–110.CrossRefGoogle ScholarPubMed
Harkness, P., Brown, P., Fowler, S., Grant, H., Ryan, R., Topham, J. (1995) Mastoidectomy audit: results of the Royal College of Surgeons of England comparative audit of ENT surgery. Clinical Otolaryngology 20: 89–94.CrossRefGoogle ScholarPubMed
Hester, T. O., Jones, R. O. (1998) Prophylactic antibiotics in surgery for chronic ear disease. Laryngoscope 108: 1334–1337.CrossRefGoogle ScholarPubMed
Hill, J., Allan, W., Malhan, D., Williams, E. D. (1993) Pressure exerted by head bandages. Journal of Laryngology and Otology 107: 1110–1112.CrossRefGoogle ScholarPubMed
Horowitz, M. (1964) Intracranial pneumocoele: An unusual complication following mastoid surgery. Journal of Laryngology and Otology 78: 128–134.CrossRefGoogle ScholarPubMed
Jackson, C. G. (1988) Antimicrobial prophylaxis in ear surgery. Laryngoscope 98: 1116–1123.CrossRefGoogle ScholarPubMed
Jackson, C. G., Glasscock, M. E., Nissen, A. J., Schwaber, M. K., Bojrab, D. (1985) Open mastoid procedures: contemporary indications and surgical technique. Laryngoscope 95: 1037–1043.CrossRefGoogle ScholarPubMed
Jeppson, P. H., Hallen, O. (1971) The taste after operation for otosclerosis. Practica Oto-Rhino-Laryngologica 33: 215–221.Google Scholar
John, D. G., Carlin, W. V., Lesser, T. H. J., Carrick, D. G., Fielder, C. (1988) Tympanoplasty surgery and prophylactic antibiotics: surgical results. Clinical Otolaryngology 13: 205–207.CrossRefGoogle ScholarPubMed
Jones, R. O., Fry, T. L. (1984) A new complication of prosthetic ossicular reconstruction. Archives of Otolaryngology 110: 757–758.CrossRefGoogle ScholarPubMed
Lee, K., Schuknecht, H. F. (1971) Results of tympanoplasty and mastoidectomy at the Massachusetts eye andear infirmary. Laryngoscope 81: 529–543.CrossRefGoogle Scholar
Lim, P. V. H., Hughes, R. G. M., Oates, J. (1998) Hypersensitive allergic reactions to bismuth-iodoformparaffin paste following ear surgery. Journal of Laryngology and Otology 112: 335–337.CrossRefGoogle ScholarPubMed
Madden, G. (1989) Facial nerve palsy following tympanomastoid surgery. Archives of Otolaryngology – Head and Neck Surgery 115: 635.CrossRefGoogle Scholar
Man, A., Weinerman, I. (1985) Does drill noise during mastoid surgery affect the contralateral ear? American Journal of Otology 4: 334–335.Google Scholar
Marais, J., Rutka, J. A. (1998) Ototoxicity and topical eardrops. Clinical Otolaryngology 23: 360–367.CrossRefGoogle ScholarPubMed
Matsuba, H. M., Thawley, S. E., Smith, P. G. (1986) Tension pneumencephalus: a case following otologic surgery. American Journal of Otology 7: 208–209.Google Scholar
Neely, J. G., Kuhn, J. R. (1985) Diagnosis and treatment of iatrogenic cerebrospinal fluid leak and brain herniation during or following mastoidectomy. Laryngoscope 95: 1299–1300.CrossRefGoogle ScholarPubMed
O'Connor, A. F. F., Freeland, A. P., Heal, J. D., Rosson, S. D. (1977) Iodoform toxicity following the use of BIPP. A potential hazard. Journal of Laryngology and Otology 91: 903–907.CrossRefGoogle ScholarPubMed
Osammor, J. Y., Baruah, A. K. (1989) Unexplained neurological problems after mastoid surgery. Journal of Laryngology and Otology 103: 269–271.CrossRefGoogle ScholarPubMed
Palva, T., Kajra, J., Palva, A. (1973) High-tone sensorineural hearing losses following chronic ear surgery. Archives of Otolaryngology 98: 176–178.CrossRefGoogle ScholarPubMed
Palva, T., Kajra, J., Palva, A. (1976) Immediate and short-term complications of chronic ear surgery. Archives of Otolaryngology 102: 137–139.CrossRefGoogle ScholarPubMed
Raine, C. H., Swift, A. C. (1985) Antibiotic prophylaxis – a survey. Journal of Laryngology and Otology 99: 183–185.CrossRefGoogle ScholarPubMed
Roland, P. S., Meyerhoff, W. L. (1994) Intraoperative electrophysiological monitoring of the facial nerve: is it standard of practice? American Journal of Otolaryngology 15: 267–270.CrossRefGoogle ScholarPubMed
Rowe-Jones, J. M., Leighton, S. E. J. (1993) The value of head dressings for middle ear surgery. Journal of Laryngology and Otology 107: 17–19.CrossRefGoogle ScholarPubMed
Samuel, D., Thomas, D. M., Tierney, P. A., Patel, K. S. (1995) Atlanto-axial joint subluxation (Grisel's syndrome) following otolaryngologic disease and procedures. Journal of Laryngology and Otology 109: 1005–1009.CrossRefGoogle Scholar
Sanna, M., Shea, C. M., Gamoletti, R., Russo, A. (1992) Surgery of the ‘only hearing ear’ with chronic ear disease. Journal of Laryngology and Otology 106: 793–798.CrossRefGoogle ScholarPubMed
Schuring, A. G. (1988) Iatrogenic facial nerve injury. American Journal of Otology 9: 432–433.Google ScholarPubMed
Shaan, M., Landolfi, M., Taibah, A., Russo, A., Szymanski, M., Sanna, M. (1995) Modified Bondy technique. American Journal of Otology 5: 695–697.Google Scholar
Smyth, G. D. L. (1977) Sensorineural hearing loss in chronic ear surgery. Annals of Otology, Rhinology and Laryngology 86: 3–8.CrossRefGoogle ScholarPubMed
Spencer, M. G., Reid, A. (1985) Drill generated noise levels in mastoid surgery. Journal of Laryngology and Otology 99: 967–972.CrossRefGoogle ScholarPubMed
Tos, M., Lau, T., Plate, S. (1984) Sensorineural hearing loss following chronic ear surgery. Annals of Otology, Rhinology and Laryngology 93: 403–409.CrossRefGoogle ScholarPubMed
Urquhart, A. C., McIntosh, W. A., Bodenstein, N. P. (1992) Drill-generated sensorineural hearing loss following mastoid surgery. Laryngoscope 102: 689–692.CrossRefGoogle ScholarPubMed
Wiet, R. J., Harvet, S. A., Bauer, G. P. (1994) Management of complications of chronic otitis media. In Otologic Surgery, (Brackmann, D. E., Shelton, C., Arriaga, M. A., eds.) W. B. Saunders Co., Philadelphia, Chapter 22, pp 257–276.Google Scholar
Windle-Taylor, P. C. (1980) Superficial venous thrombosis following mastoid surgery. Journal of Laryngology and Otology 91: 903–907.Google Scholar
Wormald, P. J., Nilssen, E. L. K. (1997) Do the complications of mastoid surgery differ from those of the disease? Clinical Otolaryngology 22: 355–357.CrossRefGoogle ScholarPubMed