Mastoidectomy elimination

Black B. (1995) Mastoidectomy elimination. Laryngoscope, 105 12: .

Author Black B.
Title Mastoidectomy elimination
Journal name Laryngoscope   Check publisher's open access policy
ISSN 1531-4995
Publication date 1995-01-01
Sub-type Article (original research)
Volume 105
Issue 12
Total pages 1
Subject 2733 Otorhinolaryngology
Abstract Surgery that eliminates the open radical cavity takes three forms: obliteration (cavity fill-in, reconstruction (canal wall defect repair), or ablation (external canal closure). The evolution of each variety is reviewed in detail and a personal series of 240 cases is discussed. These included obliterations and reconstructions using organic materials, then reconstructions employing porous hydroxylapatite ceramic implants. Larger defects required Grote implants, but high facial ridge cases were managed with attic defect plates and limited canalplasty. Canal repair success rates improved with the use of the middle temporal flap to improve canal wall vascularity. Residual cholesteatoma has been prevented by staged surgery, and recurrent disease has been virtually abolished by aggressive prevention techniques which employ drum reinforcement with finely shaven cartilage-perichondrium composite grafts. Ossiculoplasty procedures included 85 Plasti-pore® columellas, 107 Oval-Top hydroxylapatite/Tef-lon® columellas and, more recently, 17 Spanner malleus-stapes/footplate assemblies. Earlier poor results have been succeeded by more satisfactory levels. Since 1990, the air-bone gap has been closed to within 10 dB in 33% of cases and to within 20 dB in 66% of cases. Studies using SPITE (surgical, prosthetic, infection, tissues, and eustachian) adverse indicators have demonstrated high levels of pathology in elimination cases, when compared with nonelimination series. The SPITE studies have also demonstrated the reduction of pathology levels by staged surgery. Elimination surgery now provides permanent relief from the problem cavity in all but a few cases.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: Scopus Import - Archived
Version Filter Type
Citation counts: Scopus Citation Count Cited 57 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 14 Jun 2016, 16:20:39 EST by System User