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Multilateral scrutiny of the Gülhane mastoidectomy

  • Otology
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Abstract

This study has been conducted in order to analyze the outcomes of a previously described technique for chronic otitis media surgery: the improved radical mastoidectomy with flap (formerly IRMF), which consisted of improved radical mastoidectomy (formerly IRM), inferiorly based fascioperiosteal flap and large meatoconchoplasty (Kahramanyol, Ear Nose Throat J 71:70–77, 1992; Kahramanyol et al., Ear Nose Throat J 79:524–526, 2000). The technique is hereafter referred as the Gülhane mastoidectomy. During a period of 22 consecutive years, 255 patients have been operated on and treated utilizing the technique mentioned above. Despite extensive otologic destruction and concomitant severe complications, the technique rendered impressive outcomes: the cavities became smaller over time and remained healthy, providing good life quality for the patients. Cholesteatoma recurrence was observed in but one patient. The outcomes confirm the value and usefulness of the technique.

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References

  1. Babighian G (2002) Posterior and attic osteoplasty: hearing results and recurrence in cholesteatoma. Otol Neurotol 23:14–17

    Article  PubMed  Google Scholar 

  2. Black B (1998) Mastoidectomy elimination (Obliterate, reconstruct or ablate?). Am J Otol 19:551–557

    PubMed  CAS  Google Scholar 

  3. Brown JS (1982) A ten year stasistical follow-up of 1142 consecutive cases of cholesteatoma : the closed vs the open technique. Laryngoscope 92:390–396

    PubMed  CAS  Google Scholar 

  4. Fish U (1980) Surgical treatment of acquired cholesteatoma. In: tympanoplasty and stapedectomy. Georg Thieme Verlag, Stuttgart, pp 40–55

  5. Glasscock ME III, Shambaugh GE Jr (1990) Indications for modified radical mastoidectomy. In: Surgery of the ear. WB Saunders, Philadelphia, pp 231–232

  6. Hilger JA, Hohmann A (1962) The pedicle graft in tympanomastoid surgery. Laryngoscope 72:1121–1124

    Article  PubMed  CAS  Google Scholar 

  7. Kahramanyol M (1992) Fascioperiosteal flap and neoosteogenesis in radical mastoidectomy. Ear Nose Throat J 71:70–77

    PubMed  CAS  Google Scholar 

  8. Kahramanyol M, Muş N, Özkaptan Y, Aktaş D, Özünlü A (1993) Fascioperiosteal flap and neoosteogenesis in radical mastoidectomy. In: Proceedings of the XVth world congress of otorhinolaryngology-head and neck surgery, Istanbul. Multiscience, Essex, pp 137–138

  9. Kahramanyol M, Özünlü A, Pabuşçu Y (2000) Fascioperiosteal flap and neo-osteogenesis in radical mastoidectomy: long term results. Ear Nose Throat J 79:524–526

    PubMed  CAS  Google Scholar 

  10. Linthicum FH Jr (2002) The fate of mastoid obliteration tissue: a histopathological study. Laryngoscope 112:1777–1781

    Article  PubMed  Google Scholar 

  11. Ojala K, Sorri M, Sipila P, Palva A (1982) Late changes in ear canal volumes after mastoid obliteration. Arch Otolaryngol 108:208–209

    PubMed  CAS  Google Scholar 

  12. Palva T, Palva A, Salmivalli A (1968) Radical mastoidectomy with cavity obliteration. Arch Otolaryngol 88:119–123

    PubMed  CAS  Google Scholar 

  13. Paparella MM, Kim CS (1977) Mastoidectomy update. Laryngoscope 87:1977–1988

    Article  PubMed  CAS  Google Scholar 

  14. Portmann M (1979) Ear surgery for inflammation and infection alone. In: The ear and temporal bone. Masson, New York, pp 43–84

  15. Ragheb SM, Gantz BJ, McCabe BF (1987) Hearing results after cholesteatoma surgery. Laryngoscope 97:1254–1263

    Article  PubMed  CAS  Google Scholar 

  16. Robertson J B, Mason T P, Stidham K R (2003) Mastoid obliteration: autogenous cranial bone pÂte reconstruction. Otol Neurotol 24:132–140

    Article  Google Scholar 

  17. Sadé J (1982) Treatment of retraction pockets and cholesteatoma. J Laryngol Otol 96:685–704

    PubMed  Google Scholar 

  18. Sadé J, Weinberger J, Berco E, Brown M, Halevy A (1982) The marsupialized (radical) mastoid. J Laryngol Otol 96:869–875

    PubMed  Google Scholar 

  19. Satar B, Yetişer S, Özkaptan Y (2002) Evolving acoustic characteristics of the canal wall down cavities due to neo-osteogenesis by periosteal flap. Otol Nuerotol 23:845–849

    Article  Google Scholar 

  20. Sheehy J L (1988) Cholesteatoma surgery: canal wall down procedures. Ann Otol Rhinol Laryngol 97:30–35

    PubMed  CAS  Google Scholar 

  21. Siim C, Tos M (1987) Partial and total reconstruction of old radical cavities. Arch Otolaryngol Head Neck Surg 113:635–643

    PubMed  CAS  Google Scholar 

  22. Smyth GDL (1982) Practical suggestions on the surgical management of the cholesteatoma ear. Laryngoscope 92:452–457

    Google Scholar 

  23. Smyth GDL (1992) Toynbee memorial lecture 1992: facts and fantasies in modern otology: the ear doctor’s dilemma. J Laryngol Otol 106:591–596

    PubMed  CAS  Google Scholar 

  24. Tos M (1995) The open cavity. In: Manual of middle ear surgery, vol. II. Georg Thieme Verlag, Stuttgart, pp 294–321

  25. Turner JL (1966) Obliteration of mastoid cavities in surgery for chronic ear. Arch Otolaryngol 75:885–896

    Google Scholar 

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Correspondence to Mustafa Kahramanyol.

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Kahramanyol, M., Aktaş, D., Uçar, C. et al. Multilateral scrutiny of the Gülhane mastoidectomy. Eur Arch Otorhinolaryngol 264, 849–854 (2007). https://doi.org/10.1007/s00405-007-0269-1

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  • DOI: https://doi.org/10.1007/s00405-007-0269-1

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