Pathology and Laboratory Medicine
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Visual summary · Pathology and Laboratory Medicine

The Efficacy of Open Mastoidectomy Versus Mastoidectomy with Temporalis Fascia Flap Obliteration

Shamsul Hadi, Hafiza M. Shahzadi, Fazal Hanan, Sania Bibi, Mohammad A. Shah, Fouzia Rauf

The question

What is the efficacy of open mastoidectomy versus mastoidectomy with temporalis fascia flap obliteration in achieving a postoperative dry ear?

  • The study evaluated patients with atticoantral disease randomly assigned to two groups, with 47 in each group.

What was done

94total patients (47 in each group)
8-weeksfollow-up period
  • A randomized controlled trial conducted at the Department of Ear, Nose, and Throat (ENT), Head & Neck Surgery, Saidu Group of Teaching Hospital, Swat, Pakistan.
  • The study duration was from Jan, 2019 to 17 July, 2021.
  • Group A underwent open mastoidectomy without obliteration, while Group B received mastoidectomy with a superior based vascularized temporalis fascia flap for obliteration.
  • Patients were followed up for an 8-weeks interval.

Key findings

Finding 1 of 3
42.55%
achieved postoperative ear dryness in Group B (40 patients)

In Group B, 40 (42.55%) patients achieved post-operative dryness of ear on 8th week subject to mastoidectomy with temporalis fascia flap obliteration.

Finding 2 of 3
36.17%
achieved postoperative ear dryness in Group A (34 patients)

In Group A, 34 (36.17%) patients had achieved post-operative dryness on 8th week of mastoidectomy.

Finding 3 of 3
35%
Staph. aureus isolated from ear discharge

The most common microorganism isolated was Staph. aureus at 35%, followed by Bacteriodes spp. at 20% and Proteus mirabilis at 15%.

Microorganisms isolated from ear discharge
  • Staph. aureus35%
  • Bacteriodes spp.20%
  • Proteus mirabilis15%

Why it matters

  • Patients who underwent mastoidectomy with temporalis fascia flap obliteration yielded better results in comparison to patients who underwent open mastoidectomy.
  • Recognition of the role of mastoid obliteration in achieving a dry ear carries significant clinical implications.

How to cite

Shamsul Hadi, Hafiza M. Shahzadi, Fazal Hanan, Sania Bibi, Mohammad A. Shah, Fouzia Rauf. The Efficacy of Open Mastoidectomy Versus Mastoidectomy with Temporalis Fascia Flap Obliteration. Pathology and Laboratory Medicine. 2022;4(1):1-5. https://doi.org/10.17140/plmoj-4-111

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