OBJECTIVES This study was designed to evaluate the authors' experience with canal wall reconstruction (CWR) tympanomastoidectomy with mastoid obliteration in the treatment of chronic otitis media with cholesteatoma. STUDY DESIGN Institutional review board approved retrospective case review. METHODS Retrospective review was performed of all patients undergoing CWR tympanomastoidectomy with m...

BACKGROUND AND OBJECTIVES The purpose of the study was to compare the mastoid air-cell volume of the patients with superior semicircular canal dehiscence syndrome (SCDS) and that of the control patients with otosclerosis and temporal bone (TB) fracture. SUBJECTS AND METHODS Ten patients with SCDS were enrolled and 10 patients with bilateral otosclerosis and TB fracture were selected as contro...

Attic cholesteatoma with antral extension in tight sclerotic mastoid cavities is a common presentation that creates difficult decision-making intraoperatively. Drilling through a sclerotic and small mastoid cavity, keeping the canal wall intactis often difficult and increases the risk of serious injury. Consequently, a canal-wall-down mastoidectomy is often performed. The endoscopic transcanal ...

The reconstruction of extended defects of the concha poses a complex challenge for plastic surgeons. In cases of subtotal ablation, an alternative method designed especially for elderly oncological patients consists of epithetic rehabilitation. However, inserting an implant-retained concha epithesis proves challenging in patients with antecedents of deep resections involving the mastoid process...

BACKGROUND This report compares the different surgical methods for large and pneumatized mastoid cavity (large cavity) and small and poorly pneumatized mastoid cavity (small cavity) cholesteatomas and their results for the facial nerve and mastoid cavity. METHODS In the period from January 1996 to December 2000, 101 ears with cholesteatomas underwent tympanoplasty with mastoidectomy. In the l...

We present a case of cervical necrotising fasciitis in a 56 year old man, secondary to a rare mastoid infection. The patient had coexisting diabetes mellitus and hypertension. He was treated with early surgical debridement followed by neck and chest reconstruction and radical mastoidectomy. Aggressive antibiotic therapy and supportive care was given. He recovered well with minimal residual func...

DURING the past 20 years there have been numerous changes in our approach to mastoid surgery. New procedures have been evolved, and old ones discarded or sometimes revived. In our present state of knowledge, three principles govern our approach to surgery of chronic ear and mastoid suppuration. Firstly, all disease and especially all cholesteatoma, must be eradicated at operation. As a corollar...

We present five cases of patients diagnosed of a facial nerve tumoral lesion localised at the Geniculate Ganglion and all of which underwent surgical resection. The initial symptoms were in four cases of peripheral facial nerve paralysis and in the fifth case facial paresis. Two trans-mastoid extralabyrinthine approaches were performed and one through a combined path (middle fossa and trans-mas...

BACKGROUND A mastoid cavity resulting from a canal wall down mastoidectomy can result in major morbidity for patients due to chronic otorrhea and infection, difficulty with hearing aids and vertigo with temperature changes. Mastoid obliteration with reconstruction of the bony external ear canal recreates the normal anatomy to avoid such morbidity. Few have the studied the quality of life benefi...