Fascioperiosteal flap and neo-osteogenesis in radical mastoidectomy: long-term results.
We performed an analysis of long-term outcomes data on 60 patients with chronic otitis media with cholesteatoma who had undergone a surgical procedure based on an improved radical mastoidectomy and an inferiorly based fascioperiosteal flap. We found that at the 2-, 7-, 10-, and 13-year postoperative followup visits, all mastoid cavities were healthy and reduced in volume. At the final examination, the mean cavity volume was found to be decreased by 39% of the mean volume measured 1 month postoperatively. This reduction in volume is attributable to the neo-osteogenic activity of the flap, which was confirmed by histopathologic and radiologic findings. No recurrences took place.
Department of Otorhinolaryngology-Head and Neck Surgery, Gülhane Military Medical Academy, Ankara, Turkey.
M
M
Kahramanyol
A
A
Ozünlü
Y
Y
Pabusçu
D018424:Cholesteatoma, Middle Ear / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008416:Mastoid / Q000473:pathology / Q000601:surgery*; D016348:Osseointegration / Q000502:physiology*; D010033:Otitis Media / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps / Q000502:physiology*; D014057:Tomography, X-Ray Computed