Characteristics of Patients Who Underwent Mastoidectomy: A Two Years Experience

Ashwini Gunasekaran, Sally Mahdiani, Fifi Veronica

Abstract


Background: Mastoidectomy is a surgical procedure to remove an infected portion of the bone behind the ear called mastoiditis when medical treatment is not effective. Patients with chronic suppurative otitis media (CSOM) complications mostly need this surgery in order to maintain the normal function of hearing. Chronic mastoiditis and cholesteatoma are the most common indications of CSOM. This study was conducted to identify the characteristics of patients who underwent mastoidectomy at Dr. Hasan Sadikin General Hospital, from 2012– 2013.

Methods: A descriptive study using total sampling method was conducted. Data were collected from medical records of 41 patients who underwent mastoidectomy at Dr. Hasan Sadikin General Hospital from 2012–2013. Inclusion criteria were medical records of patients who  underwent  mastoidectomy, and consisted of variables studied, such as  age, gender, chief complaint, main etiology, method of surgery,  and presence of abnormalities in the structure of middle ear. Incomplete medical records were excluded. The collected data were presented using percentage.

Results: Age ranged from 15–64 years (85.37%), male patients were higher (65.9%) compared to female patients (34.1%). Otorrhea (70.73%) was the main chief complaint and infection (100%) was the main cause. Majority of patients had canal wall down (CWD) surgery (63.41%) and many abnormalities were found in the inner ear structure during the surgery.

Conclusions: Infection is the only cause and otorrhea is the main indication for mastoidectomy. Most patients have been operated with CWD technique.

 


Keywords


Ear infection, inner ear structure abnormalities, mastoidectomy

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References


Hall-Stoodley LH, Hu FZ, Gieseke A, Nistico L, Nguyen D, Hayes J, et al. Direct detection of bacterial biofilms on the middle-ear mucosa of children with chronic otitis media. JAMA. 2006;296(2):202–11.

lrwan AG. Epidemiology, preoperative evaluations and surgical findings in CSOM. Palembang: Department of Otorhinolaryngology- Head and Neck Surgery, Medical Faculty of Sriwijaya University, Mohammad Hoesin Public Hospital, Palembang; 2010.

Harmadji S. Eradication of cholesteatoma and hearing reconstruction in malignant chronic otitis media. Folia Medica Indonesiana. 2004;40(1):48–50.

Mohan BS. A clinical study and management of cavity problems encountered in canal wall down mastoidectomy [dissertation]. Bangalore: Bangalore Medical College and Research Institute; 2009.

Ghonaim MM, El-Edel RH, Basiony LA, Alzahrani SS. Risk factors and causative organism of otitis media in children. Ibnosina J Med BS. 2011;3(5):172–81.

Pannu KK, Chadha S, Kumar D, Preeti. Evaluation of hearing loss in tympanic membrane perforation. Indian J Otolaryngeal Head Neck Surg. 2011;63(3):208–13.

Snow JB, Wackym PA. Ballenger’s Otorhinolaryngology: Head and Neck Surgery. 17th ed. New York: PMPH–USA; 2008.

Sahoo GC, Deepa KS. A study of complications if chronic suppurative otitis media–a series of 30 cases in rural medical college hospital. Orissa Journal of Otolaringalogy and Head & Neck Surgery. 2007;1(1):36.

Grewal DS, Hathiram BT, Saraiya SV. Canal wall down tympanomastoidectomy: the ‘on-disease’ approach for retraction pockets and cholesteatoma. J Laryngol Otol. 2007;121(9):832–9.

Jang CH, Choi YH, Jeon ES, Yang HC, Cho YB. Extradural granulation complicated by chronic suppurative otitis media with cholesteatoma. In Vivo. 2014;28(4):651–5.

Mustafa A, Heta A, Kastrati B, Dreshaj Sh. Complications of chronic otitis media with cholesteatoma during a 10–year period in Kosovo. Eur Arch Otorhinolaryngol. 2008;265(12): 1477–82.

Wilson KF, Hoggan RN, Shelton C. Tympanoplasty with intact canal wall mastoidectomy for cholesteatoma: long term surgical outcomes. Otolaryngol Head Neck Surg. 2013;149(2):292–5.low socioeconomic, exposure to smoking, allergic rhinitis, adenoid hypertrophy, chronic tonsillitis, upper respiratory tract infection (URTI) and lower respiratory tract infection ( LRTI).5




DOI: http://dx.doi.org/10.15850/amj.v4n3.1206

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