Concurrent Nasal Surgery with Mastoidectomy in Adults

Objective: To compare our findings with published success rates for mastoidectomy performed withconcurrent nasal surgeryMaterials and Method: The study was conducted from May 2017 – September 2019 in the E.N.T departmentof Saraswathi Institute of Medical Sciences, Hapur. We retrospectively reviewed 35 consecutively presentingpatients who had undergone concurrent septoplasty and mastoidectomy with or without ossicular chainreconstruction. . The study consist of patients ranged in age from 18 to 50 years and were followed up for 1- 24 months. Surgical success was defined as presence of an intact TM graft ,well epithelized mastoid cavitywithout any evidence of middle ear effusion .Results: Our 2 primary finding – graft survival rate of 91.42% and an overall surgical success rate of 77.1% compare favourably with the results of other studies of outcomes of isolated mastoidectomies. Our dataindicates that simultaneous performance of nasal surgery and mastoidectomy is feasible in adults. Nasalpacking has got short term effect on ET dysfunction but rarely severe enough to cause symptoms or middleear effusion. Concurrent approach is useful in TM graft survival or mastoid cavity epithelisation in longterm overall surgical treatment success. The concurrent approach requires only single time administrationof general anaesthesia, cost effective treatment, improved overall symptomatic relief from nasal and earsymptoms.