Necessity of mastoidectomy in patients with chronic otitis media having sclerotic mastoid bone: a retrospective clinical study

Yıl 2015, Cilt: 25 Sayı: 3, 152 - 157, 19.07.2015

Rıza Dündar Erkan Kulduk Fatih Kemal Soy Haşmet Yazıcı Engin Umut Sakarya Can Özbay

Öz

Objectives: This study aims to investigate the efficiency of mastoidectomy during tympanoplasty procedures in patients having sclerotic mastoid bone with dry or dried up tympanic cavity. Patients and Methods: The study included 146 patients 66 males, 80 females; mean age 28.6 years; range 16 to 52 years having sclerotic mastoid bone who underwent tympanoplasty between March 2010 and March 2013. Patients were divided into two groups: group A 34 males, 58 females; mean age 25.8 years; range 17 to 47 years underwent only tympanoplasty, while tympanoplasty + mastoidectomy were performed on group B 32 males, 22 females; mean age 29.8 years; range 16 to 52 years . All outcomes were evaluated including the actual state of the tympanic membrane graft and level of hearing. Results: While postoperative perforation and retraction rates were not significantly different between the two groups, results of group A were superior to group B in terms of operation duration and hearing results. Conclusion: Mastoidectomy is not an efficient procedure in chronic otitis media patients having sclerotic mastoid bone with dry or dried up tympanic cavity.

Anahtar Kelimeler

Chronic otitis media, mastoidectomy, tympanoplasty

Sklerotik mastoid kemiği olan kronik otitis medialı hastalarda mastoidektominin gerekliliği: retrospektif bir klinik çalışma

Öz

Amaç: Bu çalışmada kuru veya kurutulmuş timpanik kavite olan, sklerotik mastoid kemiği olan hastalarda timpanoplasti işlemleri sırasında mastoidektominin etkinliği araştırıldı.Hastalar ve Yöntemler: Çalışmaya sklerotik mastoid kemiği olup Mart 2010 ve Mart 2013 tarihleri arasında timpanoplasti geçiren 146 hasta 66 erkek, 80 kadın; ort. yaş 28.6 yıl; dağılım 16-52 yıl dahil edildi. Hastalar iki gruba ayrıldı: grup A 34 erkek, 58 kadın, ort. yaş 25.8 yıl; dağılım 17-47 yıl sadece timpanoplasti geçirirken grup B’ye 32 erkek, 22 kadın; ort. yaş 29.8 yıl; dağılım 16-52 yıl timpanoplasti + mastoidektomi uygulandı. Timpanik membran greftinin mevcut durumu ve işitme düzeyi dahil tüm sonuçlar değerlendirildi.Bulgular: İki grup arasında ameliyat sonrası perforasyon ve retraksiyon oranları anlamlı olarak farklı olmasa da ameliyat süresi ve işitme sonuçları açısından grup A’nın sonuçları grup B’den üstündü.Sonuç: Kuru veya kurutulmuş timpanik kavite olan, sklerotik mastoid kemiği olan hastalarda mastoidektomi etkin bir işlem değildir

Anahtar Kelimeler

Kronik otitis media, mastoidektomi, timpanoplasti

Kaynakça

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