| Intraoperative findings in revision canal wall down mastoidectomy. | |
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MedLine Citation:
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PMID: 18369017 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Effective canal wall down mastoid surgery requires attention to certain key principles. We reviewed all cases requiring revision surgery at the Royal Victoria Eye and Ear Hospital over a 6 year period 1999-2004. Intraoperative findings which contributed to the need for revision surgery were identified. During this 6 year period 291 canal wall down mastoidectomies were performed. Thirty-seven were revision procedures. Nineteen (51%) cases were found to have recurrent or residual cholesteatoma. Sixteen (43%) cases had a high facial ridge, thirteen (35%) cases had an open middle ear. Nine (24%) cases had an inadequate meatus, 2 (5%) cases had a cavity sump. This study illustrated that a high facial ridge, an open middle ear segment, an inadequate meatoplasty and recurrent cholesteatoma were common intraoperative findings in this revision group. Eighty-nine percent of revision cases had dry, healed and safe cavities on follow up. Poor performance of the open technique is the most important factor in failure. |
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Authors:
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E Phelan; M Harney; H Burns |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Irish medical journal Volume: 101 ISSN: 0332-3102 ISO Abbreviation: Ir Med J Publication Date: 2008 Jan |
Date Detail:
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Created Date: 2008-03-28 Completed Date: 2008-04-30 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0430275 Medline TA: Ir Med J Country: Ireland |
Other Details:
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Languages: eng Pagination: 14 Citation Subset: IM |
Affiliation:
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Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin 2, Ireland eimearphelan@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Child Child, Preschool Cholesteatoma, Middle Ear / epidemiology, surgery* Female Humans Male Mastoid / surgery* Middle Aged Otologic Surgical Procedures / methods, statistics & numerical data Recurrence Reoperation Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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