Analysis of long‑term anatomic results of radical mastoidectomy

Mocanu,Horia; Mocanu,Adela-Ioana; Coadă,Gabriella; Bonciu,Alexandru; Schipor,Mihai-Adrian; Rădulescu,Marian

doi:10.3892/etm.2021.11079

Analysis of long‑term anatomic results of radical mastoidectomy

Authors:
- Horia Mocanu
- Adela-Ioana Mocanu
- Gabriella Coadă
- Alexandru Bonciu
- Mihai-Adrian Schipor
- Marian Rădulescu
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Affiliations: Department of ENT and HNS, Faculty of Medicine, ‘Titu Maiorescu’ University, 031593 Bucharest, Romania, Department of ENT and HNS, Polimed Medical Center, 040067 Bucharest, Romania, Department of ENT and HNS, ‘Sf. Maria’ Clinical Hospital, 011172 Bucharest, Romania, Department of ENT and HNS, ‘Dr. Carol Davila’ Central Military Emergency University Hospital, 010825 Bucharest, Romania, Technical University of Munich, Institute of Astronomical and Physical Geodesy, D-80333 Munich, Germany, Department of ENT and HNS, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania
Published online on: December 17, 2021 https://doi.org/10.3892/etm.2021.11079
Article Number: 156
Copyright: © Mocanu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

A long‑term, retrospective, non‑controlled study was performed on the drainage results of mastoidectomy (both radical and modified radical) and the relevant statistical factors that could influence the anatomic outcome were defined. The present study took into consideration the same cohort of 200 patients we have communicated with before in our previous studies concerning the long‑term functional results of mastoidectomy and long‑term results of ossicular replacement with biovitroceramic prosthesis. The patients were clinically followed for the same period of 8.12 years. The drainage (anatomic) results, similar to previously published functional results, were defined by analytical function of the severity and the period of evolution of disease. The main goal was to define the situations and factors (presence of complications, type of disease, type of tympanic perforation or status of ossicular chain) that influenced the drainage results that could provide us with some type of anatomical prognosis. The follow‑up started at the moment of complete epithelization for each cavity as time represents the main study comparison criteria. Drainage failure was assessed by the number of otorrhea episodes. It was concluded that practically and ideally, a maximum of 84% of the mastoid and petrous cells can be cleaned out. The results of 78% drainage success are congruent to this theory. The remaining 16% of cells may contain irreversible lesions.

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Volume 23 Issue 2

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Analysis of long‑term anatomic results of radical mastoidectomy

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Analysis of long‑term anatomic results of radical mastoidectomy

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