[Trans-tympanic aeration in mastoiditis. Study of 42 cases (author's transl)].
The authors review the diagnostic protocol of mastoiditis based upon 382 cases with 1.3% errors (histological confirmation). Up to the present time, mastoidectomy was the only treatment which could be envisaged. In a new series of 90 cases, 48 constituted the control group and 42 the study group, trans-tympanic drains were inserted routinely in the latter. It was thus possible to avoid mastoidectomy in 62% of cases in the study group (evaluation based upon the number of ears). The period of postoperative observation was on average 8 months. No complications related to the drain were seen. Up to the present time, there exist no precise criteria which may be used to decide between insertion of a drain or mastoidectomy from the outset. Insertion of a drain must thus be considered as a therapeutic test, justified by its harmlessness and simplicity.
D002648:Child; D004322:Drainage / Q000295:instrumentation*; D006801:Humans; D007223:Infant; D008416:Mastoid / Q000601:surgery; D008417:Mastoiditis / Q000473:pathology / Q000601:surgery*; D010033:Otitis Media / Q000209:etiology; D011379:Prognosis; D013997:Time Factors
L'aérateur transtympanique dans les mastoïdites.