[Chronic otitis media].
Results of middle ear operations performed between 1984-1989 were analyzed. The operations included 139 simple mastoidectomies, 68 radical mastoidectomies, and 41 simple mastoidectomies with tympanoplasty. 342 tympanoplasties were also performed, 51 in children up to 14 years old and 291 in those over 14. We conclude that the Schuller view and CT are not conclusive as to the presence of cholesteatoma, and cannot be relied on without other confirmation in planning the type of operation. Of patients with cholesteatoma who underwent simple mastoidectomy, in 21.1% the cholesteatoma recurred and revision or radical mastoidectomy was necessary. When the Eustachian tube was patent, the graft took in more than 90% of cases. Fibrin glue did not affect the results of tympanoplasty or myringoplasty. Graft take was similar in those under and over the age of 14. Tympanoplasty in children has a good chance of succeeding, and enables most to return to a normal life (including swimming).
Dept. of Otolaryngology-Head and Neck Surgery, Bnai Zion Medical Center, Haifa.
L
L
Podoshin
M
M
Fradis
Y
Y
Ben-David
L
L
Bashara
S
S
Malatskey
D000293:Adolescent; D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000601:surgery; D002908:Chronic Disease; D006801:Humans; D008416:Mastoid / Q000601:surgery; D010033:Otitis Media / Q000601:surgery*; D012008:Recurrence; D016896:Treatment Outcome; D014433:Tympanoplasty