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Surgical Efficacy of Mastoidectomy in Chronic Otitis Media: Squamosal Type

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Abstract

Chronic Otitis Media—Squamosal type is an erosive process, which when confined to ossicular chain causes varying degrees of hearing impairment. As the disease progresses to involve surrounding vital structures, it causes various complications like facial palsy, vertigo, mastoid abscess, which are more common than the other intracranial complications, and require a definitive surgical intervention i.e., mastoidectomy at the earliest. A retrospective study on 60 patients who had been operated for squamosal type were analysed for the demographics, symptomatology, intraoperative extent of cholesteatoma, type of mastoidectomy done, various graft materials used for reconstruction, post operatively for graft uptake, hearing improvement and the results were analysed using ChOLE classification of cholesteatoma. Although Intact Canal Wall mastoidectomy had improved post op PTA values, there was no significant difference in the Air–Bone gap closure when Intact Canal Wall mastoidectomy was compared to Canal Wall Down Mastoidectomy.

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Acknowledgements

We thank the Superintendent of Government ENT Hospital, Hyderabad for allowing us to use the Hospital records in the study and guiding us. We thank all the Faculty Members and Residents of our Hospital for their cooperation in the smooth conduct of the study. We thank the patients and their attendants for their permission to use their data and for their cooperation in the completion of the study.

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Correspondence to L. Sudarshan Reddy.

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Akula, S., Reddy, L.S., Rani, T.M. et al. Surgical Efficacy of Mastoidectomy in Chronic Otitis Media: Squamosal Type. Indian J Otolaryngol Head Neck Surg 75 (Suppl 1), 250–254 (2023). https://doi.org/10.1007/s12070-022-03386-6

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