Mastoid Cavity Obliteration with Combined Palva Flap and Bone pâté
Introduction: This study was designed to evaluate the usefulness of mastoid cavity obliteration with combined bone pâté and Palva flap in the prevention of problematic mastoid cavities after canal wall down mastoidectomy. Materials and Methods: In a prospective longitudinal study with a mean follo...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Mashhad University of Medical Sciences
2015-01-01
|
| Series: | Iranian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://ijorl.mums.ac.ir/article_3223_019511dc7ee49b07025b9558db7956a8.pdf |
| _version_ | 1818792082555273216 |
|---|---|
| author | Samad ghiasi |
| author_facet | Samad ghiasi |
| author_sort | Samad ghiasi |
| collection | DOAJ |
| description | Introduction: This study was designed to evaluate the usefulness of mastoid cavity obliteration with combined bone pâté and Palva flap in the prevention of problematic mastoid cavities after canal wall down mastoidectomy. Materials and Methods: In a prospective longitudinal study with a mean follow-up of 28 months conducted between 2008–2012, a series of 56 ears in 48 patients with chronic otitis media due to a cholesteatoma underwent canal wall down mastoidectomy that their mastoid cavity obliterated with combined bone pâté and Palva flap. Seventeen (30%) ears were managed via revision surgery, with the reminder via primary surgery. Data included mastoid cavity status, results at second-look surgery with ossiculoplasty, and postoperative complications. Results: All patients underwent second-look surgery. Forty-six (82%) ears maintained a very small, dry and healthy mastoid cavity. Seven (13%) ears had occasional otorrhea, and three (5%) ears had small granulation tissue. Seven (12.5%) ears had residual cholesteatoma pearl in the middle ear at second-look surgery. Four (7%) ears exhibited wound infection. Conclusion: Canal wall down mastoidectomy and mastoid cavity obliteration with combined bone pâté and Palva flap is a effective option for the complete removal of cholesteatoma and prevention of postoperative mastoid cavity problems. |
| first_indexed | 2024-12-18T15:21:35Z |
| format | Article |
| id | doaj.art-9ccfe36b4a564a518f7f427e573ff156 |
| institution | Directory Open Access Journal |
| issn | 2251-7251 2251-726X |
| language | English |
| last_indexed | 2024-12-18T15:21:35Z |
| publishDate | 2015-01-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Otorhinolaryngology |
| spelling | doaj.art-9ccfe36b4a564a518f7f427e573ff1562022-12-21T21:03:23ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2015-01-0127123283223Mastoid Cavity Obliteration with Combined Palva Flap and Bone pâtéSamad ghiasi0Department of Otorhinolaryngology, Tabriz University of Medical Sciences, Tabriz, Iran.Introduction: This study was designed to evaluate the usefulness of mastoid cavity obliteration with combined bone pâté and Palva flap in the prevention of problematic mastoid cavities after canal wall down mastoidectomy. Materials and Methods: In a prospective longitudinal study with a mean follow-up of 28 months conducted between 2008–2012, a series of 56 ears in 48 patients with chronic otitis media due to a cholesteatoma underwent canal wall down mastoidectomy that their mastoid cavity obliterated with combined bone pâté and Palva flap. Seventeen (30%) ears were managed via revision surgery, with the reminder via primary surgery. Data included mastoid cavity status, results at second-look surgery with ossiculoplasty, and postoperative complications. Results: All patients underwent second-look surgery. Forty-six (82%) ears maintained a very small, dry and healthy mastoid cavity. Seven (13%) ears had occasional otorrhea, and three (5%) ears had small granulation tissue. Seven (12.5%) ears had residual cholesteatoma pearl in the middle ear at second-look surgery. Four (7%) ears exhibited wound infection. Conclusion: Canal wall down mastoidectomy and mastoid cavity obliteration with combined bone pâté and Palva flap is a effective option for the complete removal of cholesteatoma and prevention of postoperative mastoid cavity problems.http://ijorl.mums.ac.ir/article_3223_019511dc7ee49b07025b9558db7956a8.pdfBone pâtéChronic otitis mediaCholesteatomaMastoidectomyMastoid obliterationPalva flap |
| spellingShingle | Samad ghiasi Mastoid Cavity Obliteration with Combined Palva Flap and Bone pâté Iranian Journal of Otorhinolaryngology Bone pâté Chronic otitis media Cholesteatoma Mastoidectomy Mastoid obliteration Palva flap |
| title | Mastoid Cavity Obliteration with Combined Palva Flap and Bone pâté |
| title_full | Mastoid Cavity Obliteration with Combined Palva Flap and Bone pâté |
| title_fullStr | Mastoid Cavity Obliteration with Combined Palva Flap and Bone pâté |
| title_full_unstemmed | Mastoid Cavity Obliteration with Combined Palva Flap and Bone pâté |
| title_short | Mastoid Cavity Obliteration with Combined Palva Flap and Bone pâté |
| title_sort | mastoid cavity obliteration with combined palva flap and bone pate |
| topic | Bone pâté Chronic otitis media Cholesteatoma Mastoidectomy Mastoid obliteration Palva flap |
| url | http://ijorl.mums.ac.ir/article_3223_019511dc7ee49b07025b9558db7956a8.pdf |
| work_keys_str_mv | AT samadghiasi mastoidcavityobliterationwithcombinedpalvaflapandbonepate |