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To evaluate the results of mastoid obliteration and reconstruction of posterior meatal wall after canal wall down mastoidectomy using ready-to-use, self-setting hydroxyapatite bone cement

Published online by Cambridge University Press:  25 October 2024

Salman Hashmi Open the ORCID record for Salman Hashmi [Opens in a new window] ,
Syed Zohaib Maroof Hussain Open the ORCID record for Syed Zohaib Maroof Hussain [Opens in a new window] ,
Owais Matto ,
Samuel Dewhurst  and
Asad Qayyum
Salman Hashmi*
Affiliation:
Peterborough City Hospital, UK
Syed Zohaib Maroof Hussain
Affiliation:
Leicester Royal Infirmary, UK
Owais Matto
Affiliation:
Peterborough City Hospital, UK
Samuel Dewhurst
Affiliation:
Peterborough City Hospital, UK
Asad Qayyum
Affiliation:
Peterborough City Hospital, UK
*
Corresponding author: Salman Hashmi; Email: [email protected]
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Abstract

Objectives

Despite a lot of scientific advancements in otology, canal wall-down mastoidectomy is still considered to be the standard of care in the management of extensive cholesteatoma. To avoid large cavity related problems, mastoid obliteration has been described in the literature for many decades. Controversy prevails among otologists regarding the materials used for obliteration. This study aimed to evaluate the results of mastoid obliteration and reconstruction of posterior meatal wall after mastoidectomy using ready-to-use, self-setting hydroxyapatite bone cement.

Methods

Retrospective analysis was performed of all consecutive patients who underwent canal wall down mastoidectomies and primary mastoid obliteration with ready-to-use, self-setting hydroxyapatite bone cement. Minimum follow-up was 1 year. Primary Outcome measures include need for explantation and post-operative complications.

Results

Total of 26 patients were included in the study. Only one patient required complete explantation. All patients acquired dry cavities in the final follow-up. Few minor complications including external auditory canal granulations and post-aural wound dehiscence. There was no cholesteatoma recidivism.

Conclusion

Ready-to-use, self-setting hydroxyapatite bone cement serves the purpose of mastoid obliteration. In addition, it is time efficient and requires less expertise. It has excellent outcomes in terms of cholesteatoma recidivism. We recommend further research in this area with a large cohort.

Keywords

CholesteatomaOsseo-integrated implantsSensorineural hearing lossMagnetic resonance imageryHearing aids
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 6
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Salman Hashmi takes responsibility for the integrity of the content of the paper

References

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