Mastoid surgery at the Red Cross War Memorial Children's Hospital 1986-1988.
Eighty-three children between ages 0-12 years had mastoid surgery in the three year period 1986-88. The indications were acute mastoiditis (30 children), uncontrolled chronic suppurative otitis media (CSOM) (24 children), cholesteatoma (22 children) and a miscellaneous group (7 children). Forty-seven per cent of those with acute mastoiditis were under one year but the 27 per cent with cholesteatoma as the precipitating cause were 4-12 years. Twenty-three per cent had significant complications. Typmano-mastoid surgery was employed to resolve uncontrolled CSOM. Children were between 2-12 years and 62 per cent were below the 25th centile for weight. Seventy-nine per cent of the tympanic membrane grafts were successful. The children with cholesteatoma were between 3-12 years and 76 per cent were below the 25th centile for weight. Eight of them only presented after the onset of acute mastoiditis. One child had a definite congenital cholesteatoma. Only one had a pars flaccida origin of the cholesteatoma sac and only eight an origin from the postero-superior pars tensa. All had open cavity surgery. When the cavity was lined by temporalis fascia, healing was improved markedly.
Prescott
C A
CA
Department of Otolaryngology, University of Cape Town Medical School.
Malan
J F
JF
D000208:Acute Disease; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D002781:Cholesteatoma / Q000601:surgery*; D002908:Chronic Disease; D004427:Ear Diseases / Q000601:surgery*; D006801:Humans; D007223:Infant; D008416:Mastoid / Q000601:surgery*; D008417:Mastoiditis / Q000601:surgery*; D010035:Otitis Media, Suppurative / Q000601:surgery*