Facial recess opening in non-cholesteatomatous chronic otitis media

Abstract EN

An intact canal wall mastoidectomy with facial recess opening was performed on 41 patients (47 ears) VT.

with tion-cholesteatomatous chronic otitis media from January 1986 to July 1997, full information was available in 32 ears (28 patients).

Alt the patients had a minimum of 12 months continuous mucopurulent otorrhoea despite intensive medical therapy.

Twenty-five of the patients had undergone previous, unsuccessful, surgical attempts to resolve their middle ear infections.

Follow-up ranged from one to five yean and the results of surgery with emphasis on eradication of infection and repair of the tympanic membrane defect were assessed.

Successful treatment of otorrhoea and closure of the perforation was achieved in 30 ears.

If is concluded that the essentials of surgery for non-chvlesteatomatous chronic otitis media are exenteration of all mastoid cells and a wide facial recess opening to ensure aeration of the mastoid cavity.