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Use of granules of biphasic ceramic in rehabilitation of canal wall down mastoidectomy

  • Otology
  • Published:
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Abstract

The objective of this study is to evaluate the anatomical and functional results of rehabilitation of canal wall down (CWD) mastoidectomy using granules of biphasic ceramic. This is a study design retrospective in a tertiary referral centre Fifty-seven patients (59 ears) operated on between 2006 and 2010 of mastoid obliteration with granules of biphasic ceramic (TricOs®, Maurepas, France) have been included (55 revisions and 4 first surgeries). Forty-six patients presented already a CWD mastoidectomy. The mean pre-operative bone conduction (BC) was 29 ± 3.4 dB (mean ± SEM) and mean air conduction (AC) was 57 ± 3.2 dB. Cholesteatoma was found in 33 cases. All but seven cases had post-operative otoscopy examination at 1, 3, 6 months, and 1 year postoperative with a CT scan and pure tone audiometry. Mean follow-up was 14 ± 1.8 months (3–35). At one-year follow-up (n = 52), 47 cases (90 %) presented well-healed external auditory canal. Five cases (10 %) of uncovered granules without sign of infection of external auditory canal skin were observed. Mean post-operative threshold was 25 ± 1.8 and 46 ± 1.9 dB for BC and AC , respectively (n = 47). CT scan (n = 42) showed no opacity suggesting residual disease within or behind obliteration. Mastoid obliteration with granules of biphasic ceramic is a safe and effective procedure that allows restoration of a near normal external auditory canal.

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Authors and Affiliations

  1. ENT Department, AP-HP, Beaujon Hospital, 92110, Clichy, France

    Daniele Bernardeschi, Isabelle Mosnier, Mustapha Smail, Evelyne Ferrary & Olivier Sterkers

  2. Inserm, UMRS867, 75018, Paris, France

    Daniele Bernardeschi, Yann Nguyen, Isabelle Mosnier, Mustapha Smail, Evelyne Ferrary & Olivier Sterkers

  3. Sorbonne Paris Cité, Univ Paris Diderot, 75018, Paris, France

    Daniele Bernardeschi, Yann Nguyen, Isabelle Mosnier, Mustapha Smail, Evelyne Ferrary & Olivier Sterkers

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  1. Daniele Bernardeschi
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  2. Yann Nguyen
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  3. Isabelle Mosnier
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Correspondence to Daniele Bernardeschi.

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Bernardeschi, D., Nguyen, Y., Mosnier, I. et al. Use of granules of biphasic ceramic in rehabilitation of canal wall down mastoidectomy. Eur Arch Otorhinolaryngol 271, 59–64 (2014). https://doi.org/10.1007/s00405-013-2393-4

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  • DOI: https://doi.org/10.1007/s00405-013-2393-4

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