Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-10T08:27:50.179Z Has data issue: false hasContentIssue false
  • English
  • Français

Mastoid surgery at the Red Cross War Memorial Children's Hospital 1986–1988

Published online by Cambridge University Press:  29 June 2007

C. A. J. Prescott  and
J. F. Malan
C. A. J. Prescott*
Affiliation:
Department of Otolaryngology, University of Cape Town Medical School and The Red Cross War Memorial Children's Hospital.
J. F. Malan
Affiliation:
Department of Otolaryngology, University of Cape Town Medical School and The Red Cross War Memorial Children's Hospital.
*
Dr C. A. J. Prescott, ENT Department, The Red Cross War Memorial Children's Hospital, Klipfontein Road, Rondebosch, 7700, Cape Town.
Get access Rights & Permissions [Opens in a new window]

Abstract

Eighty-three children between ages 0–12 years had mastoid surgery in the three year period 1986–88. The indications were acute mastoiditis (30 children), uncontrolled chronic suppurative otitis media (CSOM) (24 children), cholesteatoma (22 children) and a miscellaneous group (7 children). Forty-seven per cent of those with acute mastoiditis were under one year but the 27 per cent with cholesteatoma as the precipitating cause were 4–12 years. Twenty-three per cent had significant complications. Typmano-mastoid surgery was employed to resolve uncontrolled CSOM. Children were between 2–12 years and 62 per cent were below the 25th centile for weight. Seventy-nine per cent of the tympanic membrane grafts were successful. The children with cholesteatoma were between 3–12 years and 76 per cent were below the 25th centile for weight. Eight of them only presented after the onset of acute mastoiditis. One child had a definite congenital cholesteatoma. Only one had a pars flaccida origin of the cholesteatoma sac and only eight an origin from the postero-superior pars tensa. All had open cavity surgery. When the cavity was lined by temporalis fascia, healing was improved markedly.

Keywords

Mastoid surgeryOtitis mediasuppurativecholesteatoma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 6 , June 1991 , pp. 409 - 412
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baxter, J. D., Ling, D. (1974) Ear disease and hearing loss among the Eskimo population of the Baffin Zone. Canadian Journal of Otolaryngology, 3: 110–122.Google ScholarPubMed
Bluestone, C. D., Kenna, M. A. (eds) (1988) Workshop on chronic suppurative otitis media: Etiology and management. Annals of Otology, Rhinology and Laryngology, Supplement 131.Google Scholar
Bluestone, CD., Klein, J. D. (1983) Intra-temporal complications and sequelae of otitis media. In: Pediatric Otolaryngology. (Bluestone, C. D., Stool, S. E., eds.) WB Saunders Co.: Philadelphia.Google Scholar
Bordley, J. E., Brookhouser, P. E., Tucker, G. F. (1986) Ear, nose and throat disorders in children. Raven Press: New York.Google Scholar
Keet, P. C., De Villiers, J. C. (1985) Brain and subdural abscesses: the outcome from 557 patients treated at Groote Schuur Hospital between 1952–83. Presented to: Combined Meeting of the Societies of British, South African and Spanish Neurological Surgeons held in Granada, Spain.Google Scholar
Kenna, M. A., Bluestone, C. D., Reilly, J. S., Lusk, R. P. (1986) Medical management of chronic suppurative otitis media without cholesteatoma in children. Laryngoscope, 96: 146–151.CrossRefGoogle ScholarPubMed
McCafferty, G. J., Coman, W. B., Shaw, E., Lewis, N. (1977) Cholesteatoma in Australian Aboriginal children. In: Cholesteatoma, First International Congress. (McCabe, B., Sade, J., Abramson, M., eds) Aesculapius Publishers: New York.Google Scholar
Mathews, T. J. (1988) Acute and acute on chronic mastoiditis: A five year experience at Groote Schuur Hospital. Journal of Laryngology and Otology, 102: 115–177.CrossRefGoogle ScholarPubMed
Mawson, S. R., Ludman, H. (1979) Diseases of the ear: A textbook of otology. Edward Arnold: London.Google Scholar
Sheehy, J. L., Brackman, D. E., Graham, M. D. (1977) Complications of cholesteatoma: A report on 1,024 cases. In: Cholesteatoma: First International Conference. (McCabe, B. F., Sade, J., Abrahamson, M., eds) Aesculapius Publishers: New York, p 420–429.Google Scholar
Tos, M., Lau, T. (1989) Stability oftympanoplasty in children. Otolaryngologic Clinics of North America, 22(1): 15–28.CrossRefGoogle ScholarPubMed
Van Cauwenberge, P. B. (1986) The character of acute and secretory otitis media. In: Acute and secretory otitis media. (Sade, J., ed) Kugler Publications: Amsterdam.Google Scholar
Wiet, R. J., De Blanc, G. B., Stewart, J., Weider, D. J. (1980) Natural history of otitis media in the American Native. Annals of Otology, Rhinology and Laryngology, 89 (Supplement 68): 14–19.CrossRefGoogle ScholarPubMed