만성 중이염으로 단순유양동삭개술을 시행 받은 환자에서 유양동폐쇄술의 효과
The Efficacy of Mastoid Obliteration in Patients Who Recieved Canal Wall Up Tympanomastoidectomy for Chronic Otitis Media
3
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background and Objectives:This study is designed to examine the efficacy of mastoid obliteration (MO) in pa- tients who received canal wall up mastoidectomy (CWUM) for chronic otitis media (COM). Postoperative tym- panic membrane examination and hearing gain were taken into account. Materials and Methods:69 patients who underwent CWUM and tympanoplasty were included in this study. 44 patients underwent CWUM, tympa- noplasty, and MO (MO group) and 25 patients underwent CWUM and tympanoplasty (CWUM group), These two groups were compared with the postoperative finding of tympanic membrane such as perforation and retrac- tion of tympanic membrane, and recurrence of otorrhea. Preoperative and postoperative air conduction pure tone audiometry were used to compare the postoperative hearing gain of the two groups. To lessen the effect of other factors, 41 patients who underwent CWUM and tympanoplasty type 1 were included in comparing postoperative hearing gain. Results:There was no difference in postoperative finding of tympanic membrane or hearing gain whether MO was performed or not after CWUM and tympanoplasty in COM patients. Conclusions:In COM patients, introducing MO after CWUM and tympanoplasty showed no efficacy in preventing postoperative per- foration and retraction of tympanic membrane and recurrence of otorrhea or yielding better result in postopera- tive hearing gain. However, this study has several demerits such as small number of enrolled patients, short fol- low up period, and to being unable to exclude other factors that might have affected the results. Therefore, I presume collecting larger number of patients and considering more factors might lead to different result and plan to design a study with a significant result.
Abstract
Background and Objectives:This study is designed to examine the efficacy of mastoid obliteration (MO) in pa- tients who received canal wall up mastoidectomy (CWUM) for chronic otitis media (COM). Postoperative tym- panic membrane examination and hearing gain were taken into account. Materials and Methods:69 patients who underwent CWUM and tympanoplasty were included in this study. 44 patients underwent CWUM, tympa- noplasty, and MO (MO group) and 25 patients underwent CWUM and tympanoplasty (CWUM group), These two groups were compared with the postoperative finding of tympanic membrane such as perforation and retrac- tion of tympanic membrane, and recurrence of otorrhea. Preoperative and postoperative air conduction pure tone audiometry were used to compare the postoperative hearing gain of the two groups. To lessen the effect of other factors, 41 patients who underwent CWUM and tympanoplasty type 1 were included in comparing postoperative hearing gain. Results:There was no difference in postoperative finding of tympanic membrane or hearing gain whether MO was performed or not after CWUM and tympanoplasty in COM patients. Conclusions:In COM patients, introducing MO after CWUM and tympanoplasty showed no efficacy in preventing postoperative per- foration and retraction of tympanic membrane and recurrence of otorrhea or yielding better result in postopera- tive hearing gain. However, this study has several demerits such as small number of enrolled patients, short fol- low up period, and to being unable to exclude other factors that might have affected the results. Therefore, I presume collecting larger number of patients and considering more factors might lead to different result and plan to design a study with a significant result.
참고문헌 (20)
- Bhutta MF, "Understanding the aetiology and resolution of chronic otitis media from animal and human studies", Dis Model Mech, 10(11), pp.1289~1300 (2017)
- Kaya E, "Investigation of the presence of biofilms in chronic suppurative otitis media, nonsuppurative otitis media, and chronic otitis media with cholesteatoma by scanning electron microscopy", Scientific World Journal, 2013, pp.683715~ (2013)
- Post JC, "Direct evidence of bacterial biofilms in otitis media", Laryngoscope, 111(12), pp.2083~2094 (2011)
- Heikkinen T, "Signs and symptoms predicting acute otitis media", Arch Pediatr Adolesc Med, 149(1), pp.26~29 (1995)
- Teschner M, "Evidence and evidence gaps in the treatment of eustachian tube dysfunction and otitis media", GMS Curr Top Otorhinolaryngol Head Neck Surg, 15 (2016)
- Webb BD, "Efficacy of tympanoplasty without mastoidectomy for chronic suppurative otitis media", Arch Otolaryngol Head Neck Surg, 134(11), pp.1155~1158 (2008)
- 김한태, "Efficacy of Tympanoplasty Without Mastoidectomy for Treating Chronic Otitis Media in Pat", Clinical and Experimental Otorhinolaryngology, 11(1), pp.30~34 (2018), 대한이비인후과학회[DOI]
- Palva T, "Surgical treatment of chronic middle ear disease:canal wall up and canal wall down procedure", Acta Otolaryngol, 104, pp.487~494 (1987)
- Palva T, "Operative technique in mastoid obliteration", Acta Otolaryngol, 75(4), pp.289~290 (1973)
- Gyo K, "Incidence of attic retraction after staged intact canal wall tympanoplasty for middle ear cholesteatoma", Auric Nasus Larynx, 19(2), pp.75~82 (1992)
- Mehta RP, "Mastoid obliteration", Otolaryngol Clin North Am, 39(6), pp.1129~1142 (2006)
- Thiel G, "The behavior of mastoidectomy cavities following modified radical mastoidectomy", Laryngoscope, 124(10), pp.2380~2385 (2014)
- Heo KW, "Alternative to canal wall-down mastoidectomy for sclerotic mastoid cavities: epitympanoplasty with mastoid obliteration", Ann Otolaryngol, 123(1), pp.47~52 (2014)
- Kerckhoffs KG, "The disease recurrence rate after the canal wall up or canal wall down technique in adults", Laryngoscope, 126(4), pp.980~987 (2016)
- Vercruysse JP, "Mastoid and epitympanic bony obliteration in pediatric cholesteatoma", Otol Neurotol, 29(7), pp.953~960 (2008)
- 권오준, "Postoperative Mastoid Aeration Following Canal Wall Up Mastoidectomy according to Preoperative Middle Ear Disease: Analysis of Temporal Bone Computed Tomography Scans", Journal of Audiology & Otology, 21(3), pp.140~145 (2017), 대한청각학회
- Paltura C, "Eustachian tube diameter: is it associated with chronic otitis media development?", Am J Otolaryngol, 38(4), pp.414~416 (2017)
- Fireman P, "Otitis media and eustachian tube dysfunction:connection to allergic rhinitis", J Allergy Clin Immunol, 99(2), pp.S787~S797 (1997)
- McDonald MH, "New insights into mechanism of Eustachian tube ventilation based on cine computed tomography images", Eur Arch Otorhinolaryngol, 269(8), pp.1901~1907 (2012)
- Canali I, "Assessment of eustachian tube function in patients with tympanic membrane retraction and in normal subjects", Braz J Otorhinolaryngol, 83(1), pp.50~58 (2017)