Mastoid obliteration and reconstruction techniques:A review of the literature

作     者：Michelle Lupa Mendlovic Daniella Alejandra Monroy Llaguno Ivan Hermann Schobert Capetillo Juan Carlos Cisneros Lesser Michelle Lupa Mendlovic;Daniella Alejandra Monroy Llaguno;Ivan Hermann Schobert Capetillo;Juan Carlos Cisneros Lesser

作者机构：Otorhinolaryngology ResidentInstituto Nacional de RehabilitacionMexico CityMexico OtorhinolaryngologyInstituto Nacional de RehabilitacionMexico CityMexico Otorhinolaryngology and NeurotologyInstituto Nacional de RehabilitacionMexico CityMexico 

出 版 物：《Journal of Otology》 (中华耳科学杂志（英文版）)

年 卷 期：2021年第16卷第3期

页      面：178-184页

核心收录：

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Chronic otitis media Cholesteatoma Mastoidectomy Mastoid obliteration Quality of life 

摘      要：Objective To review the published literature related to the different obliteration and reconstruction techniques in the management of the canal wall down *** A PubMed(Medline)and LILACS databases as well as crossed references search was performed with the following Mesh terms:“cholesteatoma,“cholesteatoma-middle ear,“otitis media,“otitis media,suppurative,“mastoiditis,“mastoidectomy,“canal wall down mastoidectomy,“radical mastoidectomy,“mastoid obliterationand crossed *** criteria were adult patients subject to mastoid cavity obliteration and posterior canal wall *** technique and materials used,anatomic and functional results,complications,recurrence rates,and changes in quality of life,were analyzed.A total of 94 articles were screened,38 were included for full-text detailed *** Twenty-one articles fulfilled the inclusion *** and materials used for canal wall reconstruction,tympanoplasty,and ossiculoplasty were varied and included autologous,biosynthetic,or *** results were reported in 16 studies and were *** studies reported improvement in the quality of life using the GBI ***-up time ranged from 1 to 83 *** articles used imaging studies to evaluate postoperative disease *** highest recurrence rate reported for cholesteatoma after obliteration was 19%.The most frequently reported complications were retraction pockets and transient *** Plenty of techniques combining grafts and other materials have been used to overcome mastoidectomy cavity *** far,it is still not possible to standardize an ideal *** available level of evidence for this topic is low and limited.