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Revista Archivo Médico de Camagüey
versão On-line ISSN 1025-0255
Resumo
SANTANA-ALVAREZ, Jorge; RIERA-VARGAS, Yohana Yamilet e HERNANDEZ DIAZ, Ángel. Results of modified radical mastoidectomy in patients with chronic suppurative media otitis. AMC [online]. 2019, vol.23, n.6, pp. 720-737. Epub 19-Nov-2019. ISSN 1025-0255.
Background:
chronic media otitis is an important cause of morbidity, hearing impairment and hospital admissions due to recurrences and complications, with modified radical mastoidectomy being the appropriate technique to achieve anatomical and functional results.
Objective:
to describe the results of the modified radical mastoidectomy in patients with suppurative chronic media otitis.
Methods:
a retrospective, longitudinal descriptive study in 54 patients with chronic media otitis, who underwent modified radical mastoidectomy. The variables under study were of clinical and epidemiological characterization and the results were evaluated as excellent, good, fair and bad. The data were processed using descriptive statistics for distribution of absolute and relative frequencies, and were reflected in tables.
Results:
the largest number of patients was male, between the third and fourth decade of life; hearing loss, otorrhea and tympanic perforation were the most frequent manifestations. The tumor image and conductive hearing loss and Pseudomonas aeruginosa were found more frequently. The mastoidectomy with tympanoplasty type III by lysis of the ossicles, clean, wide cavities, low walls and intact graft, allowed the majority of patients to have good anatomical and functional results, and complications were scarce.
Conclusions:
the technique used was modified radical mastoidectomy, associated with tympanoplasty type III and excellent, good and regular results prevailed in the operated patients.
Palavras-chave : MASTOIDECTOMY/methods; TYMPANOPLASTY/methods; CHOLESTEATOMA/surgery; OTITIS MEDIA, SUPPURATIVE/surgery; OTITIS MEDIA, SUPPURATIVE/complications.