Usefulness of Anterior-Based Periosteal (Palva) Flap for Obliteration of Mastoid Cavity in Canal Wall Down Mastoidectomy

오세준; 최성원; 이현정; 이석환; 공수근

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자료유형: 학술저널

저자정보: 오세준 최성원 이현정 이석환 공수근

저널정보: 대한이비인후과학회 부산,울산,경남 지부회 임상이비인후과 임상이비인후과 제30권 제2호

발행연도: 2019.1

수록면: 199 - 203 (5page)

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Background and Objectives:This study aimed to investigate the usefulness of anterior based periosteal (Palva) flap for mastoid cavity obliteration in canal wall down mastoidectomy (CWDM) and review its efficacy in produc- ing a dry, low-maintenance cavity. Materials and Methods:Retrospective study of a consecutive series of proce- dures from 2012 to 2015. 122 consecutive procedures for chronic otitis media or cholesteatoma with a minimum follow-up of 12 months (mean, 21 mo; range, 12-40 months). Results:67 ears of chronic otitis media and 41 ears of cholesteatoma were enrolled to this study, and others were adhesive otitis media (14 ears). 103 ears (84.4%) maintained a small, dry, healthy mastoid cavity. 12 ears (9.8%) had intermittent otorrhea easily controlled by topical treatment, 3 ears (2.5%) had persistent otorrhea. 4 ears (3.3%) had showed reperforation of tympanic membrane. Outcomes remained stable over long follow-up, up to 40 months. Conclusions:Obliteration of mastoid cavity fol- lowing CWDM by an anterior-based periosteal flap is a reliable and effective technique that results in a dry, trouble- free mastoid cavity in 84.4% of patients with active chronic otitis media.

참고문헌 (15)

참고문헌 신청

Shohet JA / 2002 / The management of pediatric cholesteatoma / Otolaryngol Clin North Am 35(4):841~851

Bennett M / 2006 / Indications and technique in mastoidectomy / Otolaryngol Clin North Am 39(6):1095~1113

Ramsey MJ / 2004 / Postauricular periosteal-pericranial flap for mastoid obliteration and canal wall down tympanomastoidectomy / Otol Neurotol 25(6):873~878

Cruz OL / 2003 / Efficacy of surgical treatment of chronic otitis media / Otolaryngol Head Neck Surg 128(2):263~266

Kos MI / 2004 / Anatomic and fuctional long-term results of canal wall-down mastoidectomy / Ann Otol Rhinol Laryngol 113(11):872~876

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