Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (6): 111-116.doi: 10.6040/j.issn.1673-3770.0.2021.301

• 综述 • Previous Articles    

The advances in application of mastoid obliteration materials in mastoidectomy canal wall down with tympanoplasty

ZHU Jun1, NIE Ruya2Overview,LI Guoyi1Guidance   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, Taihe Hospital(Affiliated Hospital of Hubei University of Medicine), Shiyan 442000, Hubei, China;
    2. Department of Otorhinolaryngology, Jingmen NO.1 People's Hospital, Jingmen 448000, Hubei, China
  • Published:2022-12-07

Abstract: Mastoidectomy canal wall down with tympanoplasty is an effectively surgical technique for the treatment of diseases such as middle ear cholesteatoma and chronic suppurative otitis media. It aims to completely remove the lesions, so as to achieve dry ears, promote drainage of the lesions and avoid intracranial and external complications. However, the large mastoid cavity left by the operation may cause repeated purulence of the surgical ear, regular scab removal after the operation, vestibular dysfunction related to temperature changes, infection of the surgical cavity and inconvenient wearing of invisible hearing aids, which all seriously affect the patients' quality of life. Therefore, mastoid reduction surgery is very important to improve the treatment effect of mastoidectomy canal wall down with tympanoplasty. With the advancement of medical technology and the continuous development of materials science, more and more materials are used in the clinical practice of mastoid reduction surgery by clinicians, but the way of taking various obliteration materials, the amount of tissue, whether it is easy to survive and absorb and other characteristics are different, each has advantages and disadvantages. Therefore, this article will review the application of mastoid reduction surgery in mastoidectomy canal wall down with tympanoplasty and the selection of mastoid obliteration materials.

Key words: Mastoidectomy canal wall down, Tympanoplasty, Mastoid reduction surgery, Mastoid cavity reconstruction, Obliteration materials

CLC Number: 

  • R764.9+2
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