Management of postoperative mastoid cavity problemes : effect of recreation of the pneumatized system

Abstract EN

The concept that a fully normal mastoid is a pneumatized one, communicating with the middle ear an probably serving as a pneumatic reservoir, is adopted.

In this work, fifty patients with post-operative cavity problems were managed in ENT department, Assuit University Hospital.

Three techniques were used for management of the cavity problems; the temporalis myofascial flap and cartilage pate to fill the cavity, and hydroxy apatite ceramic to build up the posterior bony wall and re-create a pneumatic mastoid type.

Improvement of otorrhea was reported more in conchal cartilage pate technique.

Hearing gain was poor in muscle flap obliteration, while the recreation of mastoid pneumatization hydroxyapatite technique only gave better results