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Long-term status of middle-ear aeration post canal wall down mastoidectomy

Published online by Cambridge University Press:  03 July 2019

T Ezulia ,
B S Goh  and
L Saim
T Ezulia*
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia
B S Goh
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, University Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
L Saim
Affiliation:
Otorhinolaryngology, Head and Neck Surgery, KPJ Tawakkal Specialist Hospital, Kuala Lumpur, Malaysia
*
Author for correspondence: Dr Tengku Ezulia Binti Tengku Nun Ahmad, Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia E-mail: [email protected]
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Abstract

Background

Retraction pocket theory is the most acceptable theory for cholesteatoma formation. Canal wall down mastoidectomy is widely performed for cholesteatoma removal. Post-operatively, each patient with canal wall down mastoidectomy has an exteriorised mastoid cavity, exteriorised attic, neo-tympanic membrane and shallow neo-middle ear.

Objective

This study aimed to clinically assess the status of the neo-tympanic membrane and the exteriorised attic following canal wall down mastoidectomy.

Methods

All post canal wall down mastoidectomy patients were recruited and otoendoscopy was performed to assess the neo-tympanic membrane. A clinical classification of the overall status of middle-ear aeration following canal wall down mastoidectomy was formulated.

Results

Twenty-five ears were included in the study. Ninety-two per cent of cases showed some degree of neo-tympanic membrane retraction, ranging from mild to very severe.

Conclusion

After more than six months following canal wall down mastoidectomy, the degree of retracted neo-tympanic membranes and exteriorised attics was significant. Eustachian tube dysfunction leading to negative middle-ear aeration was present even after the canal wall down procedure. However, there was no development of cholesteatoma, despite persistent retraction.

Keywords

CholesteatomaMiddle Ear VentilationMastoidectomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 8 , August 2019 , pp. 662 - 667
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr T Ezulia takes responsibility for the integrity of the content of the paper

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