Retrograde mastoidectomy technique - retrospective analysis of results

Objective: Analysis of the results of mastoidectomy using the retrograde technique for removal of cholesteatomas in adults. Methods: Retrospective analysis of cases of mastoidectomy via retrograde technique performed at Centro Hospitalar Tondela-Viseu between January 2018 and December 2021 with c...

Full description

Saved in:
Bibliographic Details
Main Authors: Márcia Mourão, Gonçalo Quadros, Bárbara Rodrigues, Francisco Patrão, António Alves, Sérgio Raposo
Format: Article
Language:English
Published: Portuguese Society of Otolaryngology and Head and Neck Surgery 2024-03-01
Series:Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
Subjects:
Online Access:https://journalsporl.com/index.php/sporl/article/view/2040
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849424471973167104
author Márcia Mourão
Gonçalo Quadros
Bárbara Rodrigues
Francisco Patrão
António Alves
Sérgio Raposo
author_facet Márcia Mourão
Gonçalo Quadros
Bárbara Rodrigues
Francisco Patrão
António Alves
Sérgio Raposo
author_sort Márcia Mourão
collection DOAJ
description Objective: Analysis of the results of mastoidectomy using the retrograde technique for removal of cholesteatomas in adults. Methods: Retrospective analysis of cases of mastoidectomy via retrograde technique performed at Centro Hospitalar Tondela-Viseu between January 2018 and December 2021 with collection of demographic data, type of surgery, reconstruction of the posterosuperior wall of the canal, type of tympanoplasty, recurrence, follow-up time and audiometric results. Results: 45 ears were included in the study, 73.3% of which corresponded to primary surgery. Reconstruction of the posterosuperior wall of the canal was performed in 37.8% and ossiculoplasty was done in 73.3%. The air-bone gap gain, in patients who underwent wall reconstruction was 9.66dB (vs. 1.91 dB without reconstruction). During follow-up, recurrence occurred in 13.3% of cases. Conclusions: In our series, this technique proved to be safe and effective in cholesteatoma excision. Reconstruction of the EAC wall allowed better audiometric results.
format Article
id doaj-art-68f2315d3b6e4b31a5c4d96d9e7c9931
institution Kabale University
issn 2184-6499
language English
publishDate 2024-03-01
publisher Portuguese Society of Otolaryngology and Head and Neck Surgery
record_format Article
series Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
spelling doaj-art-68f2315d3b6e4b31a5c4d96d9e7c99312025-08-20T03:30:09ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992024-03-0162110.34631/sporl.2040Retrograde mastoidectomy technique - retrospective analysis of resultsMárcia Mourão0Gonçalo Quadros1Bárbara Rodrigues2Francisco Patrão3António Alves4Sérgio Raposo5Serviço de Otorrinolaringologia, Centro Hospitalar Tondela-Viseu, EPE, PortugalServiço de Otorrinolaringologia, Centro Hospitalar Tondela-Viseu, EPE, PortugalServiço de Otorrinolaringologia, Centro Hospitalar Tondela-Viseu, EPE, PortugalServiço de Otorrinolaringologia, Centro Hospitalar Tondela-Viseu, EPE, PortugalServiço de Otorrinolaringologia, Centro Hospitalar Tondela-Viseu, EPE, PortugalServiço de Otorrinolaringologia, Centro Hospitalar Tondela-Viseu, EPE, Portugal Objective: Analysis of the results of mastoidectomy using the retrograde technique for removal of cholesteatomas in adults. Methods: Retrospective analysis of cases of mastoidectomy via retrograde technique performed at Centro Hospitalar Tondela-Viseu between January 2018 and December 2021 with collection of demographic data, type of surgery, reconstruction of the posterosuperior wall of the canal, type of tympanoplasty, recurrence, follow-up time and audiometric results. Results: 45 ears were included in the study, 73.3% of which corresponded to primary surgery. Reconstruction of the posterosuperior wall of the canal was performed in 37.8% and ossiculoplasty was done in 73.3%. The air-bone gap gain, in patients who underwent wall reconstruction was 9.66dB (vs. 1.91 dB without reconstruction). During follow-up, recurrence occurred in 13.3% of cases. Conclusions: In our series, this technique proved to be safe and effective in cholesteatoma excision. Reconstruction of the EAC wall allowed better audiometric results. https://journalsporl.com/index.php/sporl/article/view/2040MastoidectomyRetrograde technique
spellingShingle Márcia Mourão
Gonçalo Quadros
Bárbara Rodrigues
Francisco Patrão
António Alves
Sérgio Raposo
Retrograde mastoidectomy technique - retrospective analysis of results
Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
Mastoidectomy
Retrograde technique
title Retrograde mastoidectomy technique - retrospective analysis of results
title_full Retrograde mastoidectomy technique - retrospective analysis of results
title_fullStr Retrograde mastoidectomy technique - retrospective analysis of results
title_full_unstemmed Retrograde mastoidectomy technique - retrospective analysis of results
title_short Retrograde mastoidectomy technique - retrospective analysis of results
title_sort retrograde mastoidectomy technique retrospective analysis of results
topic Mastoidectomy
Retrograde technique
url https://journalsporl.com/index.php/sporl/article/view/2040
work_keys_str_mv AT marciamourao retrogrademastoidectomytechniqueretrospectiveanalysisofresults
AT goncaloquadros retrogrademastoidectomytechniqueretrospectiveanalysisofresults
AT barbararodrigues retrogrademastoidectomytechniqueretrospectiveanalysisofresults
AT franciscopatrao retrogrademastoidectomytechniqueretrospectiveanalysisofresults
AT antonioalves retrogrademastoidectomytechniqueretrospectiveanalysisofresults
AT sergioraposo retrogrademastoidectomytechniqueretrospectiveanalysisofresults