Intact canal wall mastoidectomy and tympanoplasty in the treatment of chronic suppurative otitis media
YU Kunfei
ZHANG Song
XIONG Wu
YUAN Foliang
WU Shuxian
PAN Song
Abstract：Objective To report outcomes in patients with active chronic suppurative otitis media treat-ed with intact canal wall mastoidectomy and tympanoplasty. Methods Data from 57 cases treated with intact canal wall mastoidectomy and tympanoplasty were retrospectively reviewed. Result Regarding the tympanic membrane, primary healing was achieved in 48 ears;residual perforation was seen with delayed (2-3 weeks) healing in 5 ears with transplanted fascia;and surgical sites was infected with no tympanic membrane healing in 4 ears. There were no recurrent cases found during the follow-up period of 10 to 34 months. Air-conductive average threshold over 0.5, 1.0, 2.0 and 4.0 kHz improved from 49.7±9.4 dB HL pre-operatively to 30.3±8.0 dB HL postoperatively, with the average air-bone gap reduced by 15 dB. Hearing improvement was reported by the patient in 48 cases. Conclusion Intact canal wall mastoidectomy can be used in active chronic suppura-tive otitis media to effectively remove middle ear lesions and reconstruct middle ear conduction structures, while retaining the normal morphology of ear, improving hearing and enhancing quality of life.
Keywords：otitis mediaintact canal wall mastoidectomytympanoplasty
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 675-677 )