A Prospective Study Evaluating Indications & Outcomes of Revision Mastoid Surgery.

IF 0.6 Q4 SURGERY Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-10-01 Epub Date: 2024-05-30 DOI:10.1007/s12070-024-04759-9
Arup Kakati, Sruthy Sridharan
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Abstract

Mastoid surgeries are surgical procedures, wherein surgical failures are prevalent due to the fundamental complexities involved, especially in the understanding of microscopy and pathophysiology of the disease. A revision mastoidectomy is an utmost, a post-procedure decision, wherein the patient continues to exhibit signs and symptoms that are concerning. This is proved by a prospective, cross-sectional research which was conducted upon a group of patients who were referred to a tertiary health care centre. This selection of twenty-three (23) patients who underwent mastoidectomy prior to their participation in this research, were exhibiting signs of recurrent diseases. The observations of trends seen in revision mastoidectomy are detailed and inferences gleaned from it. These trends and observations direct us towards the understanding that the majority of failure of previous mastoidectomy was due to persistent diseased air cells and recurrent or residual cholesteatoma. This is further corroborated by the trends observed from exhausting literature readings of previous similar studies. Revision mastoid surgeries are an important follow-up process, after the mastoidectomy, if the patients continue to exhibit diseased states.

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一项评估乳突翻修手术适应症和结果的前瞻性研究。
乳突手术是一种外科手术,由于涉及到基本的复杂性,特别是对疾病的显微镜和病理生理学的理解,手术失败的情况非常普遍。翻修乳突切除术是一种极端的手术后决定,因为患者会继续表现出令人担忧的体征和症状。一项前瞻性横断面研究证明了这一点,该研究是针对转诊到一家三级医疗保健中心的一组患者进行的。在参与这项研究之前,23 名患者接受了乳突切除术,他们表现出疾病复发的迹象。我们详细观察了乳突修正切除术的趋势,并从中得出推论。这些趋势和观察结果使我们认识到,以前乳突切除术失败的大部分原因是持续存在的病变气室和复发或残留的胆脂瘤。对以往类似研究的详尽文献阅读所观察到的趋势进一步证实了这一点。乳突切除术后,如果患者继续表现出病变状态,乳突翻修手术是一个重要的后续过程。
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
226
审稿时长
6-12 weeks
期刊介绍: Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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