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The effect of fascia and free skin graft on the healing of mastoid cavity after canal wall down mastoidectomy

Published online by Cambridge University Press:  06 October 2021

K R Bongale ,
V K Bhat  and
A M Shetty
K R Bongale
Affiliation:
Department of Otolaryngology, Head and Neck surgery, Karnataka Institute of Medical Sciences, Hubli, India
V K Bhat*
Affiliation:
Department of Otolaryngology, Head and Neck surgery, Karnataka Institute of Medical Sciences, Hubli, India
A M Shetty
Affiliation:
Department of Otolaryngology, Head and Neck surgery, Karnataka Institute of Medical Sciences, Hubli, India
*
Author for correspondence: Dr V K Bhat, Department of Otolaryngology, Head and Neck surgery, Karnataka Institute of Medical Sciences, Pune-Bangalore Rd, Vidyanagar, Hubli580021, India E-mail: vikram.ent@gmail.com
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Abstract

Objective

Post-mastoidectomy delayed cavity healing is a challenge to manage. This study aimed to cut down healing time with a simple technique (fascia with a skin graft) and compared it with controls without this technique.

Method

The current study was a prospective non-randomised controlled study, conducted in a tertiary referral hospital. Thirty cases and 30 controls with squamosal type chronic otitis media were studied.

Results

By the end of first month, 23.3 per cent of cases had healed compared with 3.3 per cent of controls. At the third month follow up, 83.3 per cent of cases and 53.3 per cent of controls had healed. At the sixth month follow up, 93.3 per cent of cases and 86 per cent of controls had healed.

Conclusion

Healing of the mastoid cavity, as evidenced by epithelialisation and formation of a dry cavity, was faster in cases that received the graft when compared with controls without the graft.

Keywords

Otitis MediaMastoidMastoidectomySkin Grafting
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 12 , December 2021 , pp. 1094 - 1099
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr V K Bhat takes responsibility for the integrity of the content of the paper

Presented at 72nd Annual Conference of the Association of Otolaryngologists of India, 10–12 January 2020, Nagpur, India.

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