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Subtotal petrosectomy with external canal overclosure in the management of chronic suppurative otitis media

Published online by Cambridge University Press:  29 June 2007

Abhi A. Parikh  and
Gerald B. Brookes
Abhi A. Parikh
Affiliation:
Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA.
Gerald B. Brookes*
Affiliation:
Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA.
*
Mr G. B. Brookes, Consultant Otolaryngologist, Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA.
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Abstract

Subtotal petrosectomy with external canal overclosure has been used in the management of 10 patients with chronic suppurative otitis media in the past four years. These patients fall into two categories. One group consisted of patients with end-stage chronically discharging mastoid cavities, despite aggressive medical therapy. The other group comprised patients who had developed disabling peripheral vestibular symptoms and had a mastoid cavity from past surgery for chronic otitis media. In both groups the affected ear had absent or poor auditory function. In the second group, a translabyrinthine section of the vestibular and/or cochlear nerves was performed in conjunction with subtotal petrosectomy

The procedure has been very successful in relieving the persistent otorrhoea, giving the patient an ear without a cavity that would need regular care. No restriction on swimming and participation in other water sports is an additional advantage.

Illustrative cases are used to discuss the technique and indications.

Keywords

Otitis media, suppurative, chronicPetrous bone, surgeryVestibular nerve, sectionCochlear nerve, sectionEar canal
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 3 , March 1994 , pp. 197 - 201
Copyright
Copyright © JLO (1984) Limited 1994

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