Hernández VG, Luna GR

Language: Spanish
References: 6
Page: 109-114
PDF size: 285.29 Kb.

ABSTRACT

Surgery in chronic otitis media is a common practice in our country, quite often are patients who have had undergone multiple surgeries without control of the disease as well as others with special conditions such as meningoencephalocele, in whom it is mandatory to intervene completely and properly. This goal is achieved through the practice of timpanomastoidectomy cavity obliteration with Eustachian tube closure and defunctioning external auditory canal and improve the quality of life which is often affected in such circumstances. We communicate the case of two patients with a history of otologic surgery, one of them with meningoencephalocele, and the second with meningoencephalocele and cerebrospinal fluid leak. Both patients are asymptomatic and undergo regular imaging studies, primarily magnetic resonance imaging. We establish the indications for timpanomastoidectomy cavity obliteration with Eustachian tube closure and defunctioning external auditory canal in patients with chronic suppurative otitis media difficult to manage, and surgical technique is briefly described.

REFERENCES

1. Mehta RP, Harris JP. Mastoid obliteration. Otolaryngol Clin North Am 2006;39:1129-1142.

2. Kos MI, Chavaillaz O, Guyot JP. Obliteration of the tympanomastoid cavity: long term results of the Rambo operation. J Laryngol Otol 2006;120:1014-1018.

3. Sanna, M. Management of chronic otitis by middle ear obliteration with blind sac closure of the external auditory canal. Otol Neurotol 2007;29:19-22.

4. Fantuzzi G. Adipose tissue, adipokines, and inflammation. J Allergy Clin Immunol 2005;115:911-919.

5. Linthicum F. The fate of mastoid obliteration tissue: A histopathological study. Laryngoscope 2002;112:1777- 17781.

6. Fisch U, Mattox D. Microsurgery of the skull base. New York: Thieme Medical Publisher, 1988.