ORL; journal for oto-rhino-laryngology and its related specialties · 2010
Mastoidectomy in the elderly.
СтатьяНазвание и аннотация: Перевод в очереди
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Migirov Lela, Weissburd Sergei, Wolf Michael
Аннотация
OBJECTIVE: To present conditions requiring mastoid surgery in elderly patients.
STUDY DESIGN: Retrospective.
RESULTS: Twenty-seven patients (aged 65-90 years) who underwent mastoidectomy were enrolled. The etiologies included chronic otitis media (COM) with (n = 16) or without (n = 5) cholesteatoma, otogenic meningitis and malignant otitis externa (MOE; n = 3 each). Urgent mastoidectomy was indicated for 4 intracranial complications (3 meningitis and 1 brain abscess) and 14 extracranial complications of acute/COM or MOE (7 patients with labyrinthitis and 7 patients with facial nerve, FN, paralysis). There was only partial improvement in FN function in only 1 of 7 patients with FN paralysis. Two patients lost their hearing as a result of a surgical intervention for cholesteatoma. One patient was reoperated for recurrent cholesteatoma 15 months after the initial mastoid surgery. Chronic otorrhea complicated the postoperative course in 2 patients.
CONCLUSION: Mastoidectomy for geriatric patients is mostly urgent surgery for complications of acute/COM or MOE.
STUDY DESIGN: Retrospective.
RESULTS: Twenty-seven patients (aged 65-90 years) who underwent mastoidectomy were enrolled. The etiologies included chronic otitis media (COM) with (n = 16) or without (n = 5) cholesteatoma, otogenic meningitis and malignant otitis externa (MOE; n = 3 each). Urgent mastoidectomy was indicated for 4 intracranial complications (3 meningitis and 1 brain abscess) and 14 extracranial complications of acute/COM or MOE (7 patients with labyrinthitis and 7 patients with facial nerve, FN, paralysis). There was only partial improvement in FN function in only 1 of 7 patients with FN paralysis. Two patients lost their hearing as a result of a surgical intervention for cholesteatoma. One patient was reoperated for recurrent cholesteatoma 15 months after the initial mastoid surgery. Chronic otorrhea complicated the postoperative course in 2 patients.
CONCLUSION: Mastoidectomy for geriatric patients is mostly urgent surgery for complications of acute/COM or MOE.