Rıza DÜNDAR, Erkan KULDUK, Fatih Kemal SOY, Haşmet YAZICI, Engin Umut SAKARYA, Can ÖZBAY

Sklerotik mastoid kemiği olan kronik otitis medialı hastalarda mastoidektominin gerekliliği: retrospektif bir klinik çalışma

Amaç: Bu çalışmada kuru veya kurutulmuş timpanik kavite olan, sklerotik mastoid kemiği olan hastalarda timpanoplasti işlemleri sırasında mastoidektominin etkinliği araştırıldı.Hastalar ve Yöntemler: Çalışmaya sklerotik mastoid kemiği olup Mart 2010 ve Mart 2013 tarihleri arasında timpanoplasti geçiren 146 hasta 66 erkek, 80 kadın; ort. yaş 28.6 yıl; dağılım 16-52 yıl dahil edildi. Hastalar iki gruba ayrıldı: grup A 34 erkek, 58 kadın, ort. yaş 25.8 yıl; dağılım 17-47 yıl sadece timpanoplasti geçirirken grup B’ye 32 erkek, 22 kadın; ort. yaş 29.8 yıl; dağılım 16-52 yıl timpanoplasti + mastoidektomi uygulandı. Timpanik membran greftinin mevcut durumu ve işitme düzeyi dahil tüm sonuçlar değerlendirildi.Bulgular: İki grup arasında ameliyat sonrası perforasyon ve retraksiyon oranları anlamlı olarak farklı olmasa da ameliyat süresi ve işitme sonuçları açısından grup A’nın sonuçları grup B’den üstündü.Sonuç: Kuru veya kurutulmuş timpanik kavite olan, sklerotik mastoid kemiği olan hastalarda mastoidektomi etkin bir işlem değildir

Anahtar Kelimeler:

Kronik otitis media, mastoidektomi, timpanoplasti

Necessity of mastoidectomy in patients with chronic otitis media having sclerotic mastoid bone: a retrospective clinical study

Objectives: This study aims to investigate the efficiency of mastoidectomy during tympanoplasty procedures in patients having sclerotic mastoid bone with dry or dried up tympanic cavity. Patients and Methods: The study included 146 patients 66 males, 80 females; mean age 28.6 years; range 16 to 52 years having sclerotic mastoid bone who underwent tympanoplasty between March 2010 and March 2013. Patients were divided into two groups: group A 34 males, 58 females; mean age 25.8 years; range 17 to 47 years underwent only tympanoplasty, while tympanoplasty + mastoidectomy were performed on group B 32 males, 22 females; mean age 29.8 years; range 16 to 52 years . All outcomes were evaluated including the actual state of the tympanic membrane graft and level of hearing. Results: While postoperative perforation and retraction rates were not significantly different between the two groups, results of group A were superior to group B in terms of operation duration and hearing results. Conclusion: Mastoidectomy is not an efficient procedure in chronic otitis media patients having sclerotic mastoid bone with dry or dried up tympanic cavity.

Keywords:

Chronic otitis media, mastoidectomy, tympanoplasty,

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