KENT H & RC: Education: CD & DVDs: Mastoid Obliteration Using Karnataka Flap.

Karnataka ENT Hospital & Research Center
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Mastoid Obliteration Using Karnataka Flap

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"Awarded Dr. RAF Cooper Award Paper' in 2001-2001"

Dr. Prahlada N.B

A technique of Mastoidectomy, Cavity obliteration and Meatoplasty to minimize the problems of discharging Mastoid cavity

ABSTRACT

Objectives : To present and assess a surgical technique designed to minimize the known causes of a discharging mastoid cavity following canal wall down procedure for chronic suppurative otitis media with cholesteatoma.

Methods: In this prospective study of 68 patients in the age group of 15 to 63 years, with chronic suppurative otitis media with cholesteatoma and without complications were selected for this study. All patients underwent open mastoidectomy procedure, cavity obliteration and wide concho-meatoplasty described in detail. I have developed a new cavity obliteration and meatoplasty method using few modification of the various techniques described earlier. Various components of the three steps i.e., open mastoidectomy, meatoplasty and cavity obliteration are done with post-aural approach and are interrelated and intermingled. The advantage of this procedure are : it is easy to perform and easily reproducible and minimizes the complications of mastoidectomy, allows fast healing of the cavity, helps in improving the hearing, minimizes the postoperative cavity care.

Results: Our technique was successful in providing well epithelialized small cavity which was dry in 67 (98%) patients with dry tympanic membrane perforations in 2 (2.94%) patients. No patient required revision surgery.

Conclusions: The surgical technique presented here produces a small mastoid cavity which is well epithelialized and requiring minimal postoperative care.

Key Words: Canal wall down mastoidectomy, Facial ridge, Chorda tympani, Posteriorly based post-aural flap, Cavity obliteration, Concho-meataoplasty.

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