Skip to main content
SpringerLink
Log in

Local Management of the Mastoidectomy Cavity

  • Chapter
  • First Online:
Textbook of Otitis Media

  • 239 Accesses

Abstract

The local management of the mastoidectomy cavity in the office is challenging for all otolaryngologists and otologists. The factors that influence how to keep a mastoid cavity dry and how to prevent an unstable cavity are reviewed. In addition, an overall approach to the management of a mastoid cavity and the most common topical treatments for persistent local infection are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Glasscock ME, Miller GW. Intact canal wall tympanoplasty in the management of cholesteatoma. Laryngoscope. 1976;86:1639–57.

    Article  PubMed  CAS  Google Scholar 

  2. Sade J, Berco E, Brown M. Results of mastoid operations in various chronic ear diseases. Am J Otol. 1981;3:11–20.

    PubMed  CAS  Google Scholar 

  3. Sheehy JL, Brackmann DE, Graham MD. Cholesteatoma surgery: residual and recurrent disease. A review of 1,024 cases. Ann Otol Rhinol Laryngol. 1977;86:451–62.

    Article  PubMed  CAS  Google Scholar 

  4. Smyth GD. Postoperative cholesteatoma in combined approach tympanoplasty. Fifteen year report on tympanoplasty. Part I. J Laryngol Otol. 1976;90:597–621.

    Article  PubMed  CAS  Google Scholar 

  5. Nadol JB Jr. Revision mastoidectomy. Otolaryngol Clin N Am. 2006;39(723–740):vi–vii.

    Google Scholar 

  6. Uluyol S, Ugur O, Arslan IB, Yagiz O, Gumussoy M, Cukurova I. Effects of cavity reconstruction on morbidity and quality of life after canal wall down tympanomastoidectomy. Braz J Otorhinolaryngol. 2018;84(5):608–13.

    Article  PubMed  Google Scholar 

  7. Mehta RP, Harris JP. Mastoid obliteration. Otolaryngol Clin N Am. 2006;39(6):1129–42.

    Article  Google Scholar 

  8. Palva T. Operative technique in mastoid obliteration. Acta Otolaryngol. 1973;75(4):289–90.

    Article  PubMed  CAS  Google Scholar 

  9. Sade J, Weinberg J, Berco E, Brown M, Halevy A. The marsupialized (radical) mastoid. J Laryngol Otol. 1982;96(10):869–75.

    Article  PubMed  CAS  Google Scholar 

  10. Vercruysse JP, van Dinther JJ, De Foer B, et al. Long-term results of troublesome CWD cavity reconstruction by mastoid and epitympanic bony obliteration (CWR-BOT) in adults. Otol Neurotol. 2016;37(6):698–703.

    Article  PubMed  Google Scholar 

  11. Khalil HS, Windle-Taylor PC. Canal wall down mastoidectomy: a long term commitment to the outpatients? BMC Ear Nose Throat Disord. 2003;3(1):1.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Males AG, Gray RF. Mastoid misery: quantifying the distress in a radical cavity. Clin Otolaryngol Allied Sci. 1991;16:12Y4.

    Article  Google Scholar 

  13. Merchant SN, Wang P, Jang CH, et al. Efficacy of tympanomastoid surgery for control of infection in active chronic otitis media. Laryngoscope. 1997;107:872Y7.

    Article  Google Scholar 

  14. Smyth GD. Canal wall for cholesteatoma: up or down? Long-term results. Am J Otol. 1985;6(1):1–2.

    PubMed  CAS  Google Scholar 

  15. Wormald PJ, Nilssen EL. The facial ridge and the discharging mastoid cavity. Laryngoscope. 1998;108(1 Pt 1):92–6.

    Article  PubMed  CAS  Google Scholar 

  16. Youngs R. The histopathology of mastoidectomy cavities, with particular reference to persistent disease leading to chronic otorrhoea. Clin Otolaryngol Allied Sci. 1992;17(6):505–10.

    Article  PubMed  CAS  Google Scholar 

  17. Dornhoffer JL, Smith J, Richter G, Boeckmann J. Impact on quality of life after mastoid obliteration. Laryngoscope. 2008;118:1427Y32.

    Article  Google Scholar 

  18. Dornhoffer JL, Gluth MB. Chapter 14: Office evaluation and management of a canal wall-down mastoid. In: The chronic ear. 2016. pp. 106–110.

    Google Scholar 

  19. Gluth MB, Metrailer AM, Dornhoffer JL, Moore PC. Patterns of failure in canal wall down mastoidectomy cavity instability. Otol Neurotol. 2012;33(6):998–1001.

    Article  PubMed  Google Scholar 

  20. Bongale KR, Bhat VK, Shetty AM. The effect of fascia and free skin graft on the healing of mastoid cavity after canal wall down mastoidectomy. J Laryngol Otol. 2021;135:1094–9.

    Article  Google Scholar 

  21. Gluth MB, Tan BY, Santa Maria PL, Atlas MD. Unique microbiology of chronically unstable canal wall down tympanomastoid cavities: considerations for surgical revision. J Laryngol Otol. 2013;127(5):458–62.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otolaryngology, Clínica Universidad de Los Andes, and Hospital del Salvador, Santiago, Chile

    Leandro Rodríguez

  2. Department of Otolaryngology, Clínica Universidad de Los Andes, Santiago, Chile

    Raimundo José García-Matte & Marcos V. Goycoolea

Authors
  1. Leandro Rodríguez
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Raimundo José García-Matte
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marcos V. Goycoolea
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Otolaryngology, Clínica Universidad de Los Andes, Santiago, Chile, USA

    Marcos V. Goycoolea

  2. Otolaryngology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

    Sady Selaimen da Costa

  3. Department of Otolaryngology, Tata Memorial Hospital, Mumbai, Maharashtra, India

    Chris de Souza

  4. Paparella Ear Head & Neck Institute, University of Minnesota, Minneapolis, MN, USA

    Michael M. Paparella

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rodríguez, L., José García-Matte, R., Goycoolea, M.V. (2023). Local Management of the Mastoidectomy Cavity. In: Goycoolea, M.V., Selaimen da Costa, S., de Souza, C., Paparella, M.M. (eds) Textbook of Otitis Media. Springer, Cham. https://doi.org/10.1007/978-3-031-40949-3_62

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-40949-3_62

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-40948-6

  • Online ISBN: 978-3-031-40949-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation