Modified Bondy radical mastoidectomy: anatomic and functional results
Objectives:To assess the anatomic and functional results in the ears which underwent modified Bondy radical mastoidectomy.Methods:The records of 44 ears operated on between July 1999- December 2005 with a minimum of 30-month follow-up period were retrospectively reviewed. All the patients had intact...
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| Format: | Article |
| Language: | English |
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Galenos Yayincilik
2009-03-01
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| Series: | Turkish Archives of Otorhinolaryngology |
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http://turkarchotolaryngol.net/archives/archive-detail/article-preview/modified-bondy-radical-mastoidectomy-anatomic-and-/43546
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| author | Cem Özbek Tahsin Somuk Evrim Ünsal Tuna Cafer Özdem |
| author_facet | Cem Özbek Tahsin Somuk Evrim Ünsal Tuna Cafer Özdem |
| author_sort | Cem Özbek |
| collection | DOAJ |
| description | Objectives:To assess the anatomic and functional results in the ears which underwent modified Bondy radical mastoidectomy.Methods:The records of 44 ears operated on between July 1999- December 2005 with a minimum of 30-month follow-up period were retrospectively reviewed. All the patients had intact ossicular chain and underwent modified Bondy radical mastoidectomy.Results:There were 29 male and 15 female patients. The mean age was 31.97±12.45 years and the mean follow-up period was 44.29±8.73 months. After the surgical operation, 39 (88.6%) of the ears had a dry cavity, while in the other 5 cases, cholesteatoma recurrence (2 cases), perforation (2 cases) and severe retraction (1 case) were observed. The average preoperative air-bone gap (ABG) was 22.09±6.17 dB, and the postoperative ABG was 15.81±7.14 dB (p<0.01). The audiometric evaluation revealed 18 (40.9%) patients with an ABG of 20 dB or less preoperatively while the postoperative evaluation revealed 32 (72.7%) patients. The postoperative hearing level was unchanged or improved in 38 (86.3%) patients-17 (38.6%) subjects had an unchanged gap and 21 (47.7%) had an improved gap. In the remaining 6 (13.6%) cases the hearing was worse.Conclusion:Modified Bondy radical mastoidectomy has successful hearing results with low cholestatoma recurrence; therefore it has a clear place in modern otology. When performed on carefully selected patients, it has been proven to offer good results. This technique can be considered as a single stage operation with confidence, in patients with mastoid and epitympanic cholesteatoma. |
| first_indexed | 2024-04-10T13:37:04Z |
| format | Article |
| id | doaj.art-b6a4cc1c868d48f883f2cbd4689aa293 |
| institution | Directory Open Access Journal |
| issn | 2667-7474 |
| language | English |
| last_indexed | 2024-04-10T13:37:04Z |
| publishDate | 2009-03-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Turkish Archives of Otorhinolaryngology |
| spelling | doaj.art-b6a4cc1c868d48f883f2cbd4689aa2932023-02-15T16:11:20ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742009-03-01471333810.2399/tao.08.02413049054Modified Bondy radical mastoidectomy: anatomic and functional resultsCem Özbek0Tahsin Somuk1Evrim Ünsal Tuna2Cafer Özdem3 Ankara Numune Eğitim ve Araştırma Hastanesi 2. KBB ve Baş-Boyun Cerrahisi Kliniği, Ankara Ankara Numune Eğitim ve Araştırma Hastanesi 2. KBB ve Baş-Boyun Cerrahisi Kliniği, Ankara Ankara Numune Eğitim ve Araştırma Hastanesi 2. KBB ve Baş-Boyun Cerrahisi Kliniği, Ankara Ankara Numune Eğitim ve Araştırma Hastanesi 2. KBB ve Baş-Boyun Cerrahisi Kliniği, Ankara Objectives:To assess the anatomic and functional results in the ears which underwent modified Bondy radical mastoidectomy.Methods:The records of 44 ears operated on between July 1999- December 2005 with a minimum of 30-month follow-up period were retrospectively reviewed. All the patients had intact ossicular chain and underwent modified Bondy radical mastoidectomy.Results:There were 29 male and 15 female patients. The mean age was 31.97±12.45 years and the mean follow-up period was 44.29±8.73 months. After the surgical operation, 39 (88.6%) of the ears had a dry cavity, while in the other 5 cases, cholesteatoma recurrence (2 cases), perforation (2 cases) and severe retraction (1 case) were observed. The average preoperative air-bone gap (ABG) was 22.09±6.17 dB, and the postoperative ABG was 15.81±7.14 dB (p<0.01). The audiometric evaluation revealed 18 (40.9%) patients with an ABG of 20 dB or less preoperatively while the postoperative evaluation revealed 32 (72.7%) patients. The postoperative hearing level was unchanged or improved in 38 (86.3%) patients-17 (38.6%) subjects had an unchanged gap and 21 (47.7%) had an improved gap. In the remaining 6 (13.6%) cases the hearing was worse.Conclusion:Modified Bondy radical mastoidectomy has successful hearing results with low cholestatoma recurrence; therefore it has a clear place in modern otology. When performed on carefully selected patients, it has been proven to offer good results. This technique can be considered as a single stage operation with confidence, in patients with mastoid and epitympanic cholesteatoma. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/modified-bondy-radical-mastoidectomy-anatomic-and-/43546 modified radicalbondycholesteatomamastoid. |
| spellingShingle | Cem Özbek Tahsin Somuk Evrim Ünsal Tuna Cafer Özdem Modified Bondy radical mastoidectomy: anatomic and functional results Turkish Archives of Otorhinolaryngology modified radical bondy cholesteatoma mastoid. |
| title | Modified Bondy radical mastoidectomy: anatomic and functional results |
| title_full | Modified Bondy radical mastoidectomy: anatomic and functional results |
| title_fullStr | Modified Bondy radical mastoidectomy: anatomic and functional results |
| title_full_unstemmed | Modified Bondy radical mastoidectomy: anatomic and functional results |
| title_short | Modified Bondy radical mastoidectomy: anatomic and functional results |
| title_sort | modified bondy radical mastoidectomy anatomic and functional results |
| topic | modified radical bondy cholesteatoma mastoid. |
| url |
http://turkarchotolaryngol.net/archives/archive-detail/article-preview/modified-bondy-radical-mastoidectomy-anatomic-and-/43546
|
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