Almost without exception, the otologic surgeon active in mastoid surgery is plagued with the postoperative incompletely healed, delayed healed, or periodically discharging mastoid cavity.
This problem after mastoid surgery is inevitable, since a cavity is created within the body and left with no natural physiology. Secretions accumulate, surface bacteria grow in the static secretions, and a breakdown in tissue occurs.
For years, a multiplicity of techniques have been devised to control or eliminate this problem.
Mastoid obliteratory techniques following mastoid exenterations have been used for years, since the problem has long been recognized by otologic surgeons. In the past few years, techniques of muscle pedicle and fascia implants to obliterate and close the cavity have been a significant step forward in the management of this problem.1,2 However, loss of blood in the muscle pedicles has resulted in atrophic changes in the "transplant," resulting in a reopening of the cavity
MAHONEY JL. Tympanoacryloplasty: A New Mastoid Obliteratory Procedure: Preliminary Report. Arch Otolaryngol. 1962;75(6):519–523. doi:10.1001/archotol.1962.00740040534007
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