Dried amniotic membrane grafting as an adjuvant to canal wall-down procedure in pediatric cholesteatoma

Purpose To evaluate the effect of dried amniotic membrane grafting on healing of radical cavity after canal wall-down procedure. Patients and methods A total of 24 cases were included. All had canal wall-down surgery done with the use of dried amniotic membrane at the end of procedure to line the ra...

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Bibliographic Details
Main Author: Mohammad M Gaballah
Format: Article
Language:English
Published: General Organization of Teaching Hospitals and Institutes 2020-01-01
Series:Journal of Medicine in Scientific Research
Subjects:
Online Access:http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2020;volume=3;issue=3;spage=185;epage=189;aulast=Gaballah
Description
Summary:Purpose To evaluate the effect of dried amniotic membrane grafting on healing of radical cavity after canal wall-down procedure. Patients and methods A total of 24 cases were included. All had canal wall-down surgery done with the use of dried amniotic membrane at the end of procedure to line the radical cavity. According to the course of healing, cases were divided into four groups regarding wideness and dryness of cavity. Results were statistically analyzed. Results Among the 24 patients in the postoperative follow-up period of 6 months, only three (12.5%) patients needed revision meatoplasty for having narrow and wet cavities. Sixteen (66.7%) patients achieved the optimum goal of wide and dry cavity. Two (8.3%) patients had dry but narrow cavities. Three (12.5%) patients had wide but wet cavity, with recurrence of cholesteatoma. Conclusion Dried amniotic membrane graft can be used safely to line the radical cavity. Further comparative studies are needed to evaluate efficacy among other materials used to achieve safe and dry cavities.
ISSN:2537-091X
2537-0928