TY - JOUR
T1 - Mastoid and tympanomastoid procedures in otitis media
T2 - Classic mastoidectomy (simple, modified, and radical) and current adaptations; open- cavity, closed-cavity, and intact-bridge tympanomastoidectomy
AU - Goycoolea, M. V.
PY - 1999
Y1 - 1999
N2 - Surgeons should select and perform tympanomastoid procedures based on the pathogenesis of the disease and the needs of the patient. The patient should be positioned correctly. Steps should not be skipped. Surgeons should consider meatoplasty and canalplasty (when applicable) as an integral part of the procedure. Anatomic closures should be performed, and deepithelized areas should not be left. If necessary, skin grafting should be used. Attention to detail should be used. Details make a big difference; however, a big difference is no detail. Tympanomastoid surgery is intended to eradicate the disease process and to help in the regression of middle ear histopathologic changes. Based on the principles of pathogenesis, surgery is aimed at interfering in the pathologic process to stop the continuum of disease and to reestablish function with the proper timing. The ultimate goal is to treat patients with otitis media medically, reserving surgery for the restoration of function rather than for the eradication of disease.
AB - Surgeons should select and perform tympanomastoid procedures based on the pathogenesis of the disease and the needs of the patient. The patient should be positioned correctly. Steps should not be skipped. Surgeons should consider meatoplasty and canalplasty (when applicable) as an integral part of the procedure. Anatomic closures should be performed, and deepithelized areas should not be left. If necessary, skin grafting should be used. Attention to detail should be used. Details make a big difference; however, a big difference is no detail. Tympanomastoid surgery is intended to eradicate the disease process and to help in the regression of middle ear histopathologic changes. Based on the principles of pathogenesis, surgery is aimed at interfering in the pathologic process to stop the continuum of disease and to reestablish function with the proper timing. The ultimate goal is to treat patients with otitis media medically, reserving surgery for the restoration of function rather than for the eradication of disease.
KW - otitis media
UR - http://www.scopus.com/inward/record.url?scp=0032801444&partnerID=8YFLogxK
U2 - 10.1016/S0030-6665(05)70149-3
DO - 10.1016/S0030-6665(05)70149-3
M3 - Article
C2 - 10393783
AN - SCOPUS:0032801444
SN - 0030-6665
VL - 32
SP - 513
EP - 523
JO - Otolaryngologic Clinics of North America
JF - Otolaryngologic Clinics of North America
IS - 3
ER -