Mastoidectomy and mastoid obliteration with autologous bone graft: a quality of life study

Journal of Otolaryngology-Head & Neck Surgery

Allan Ho²  Nahla Gomaa²  Kate Greeff¹  George Kurien² 

[1] University of Alberta, Edmonton, AB, Canada;Department of Surgery, University of Alberta, 1100 Youville Dr., 4016 Grey Nuns Hospital, T6L 5X8 Edmonton, AB, Canada

关键词: Glasgow benefit inventory;    Quality of life;    Health status;    Bone graft;    Autologous;    Obliteration;    Chronic otitis media;    Mastoidectomy;   

Others  :  861610
DOI  :  10.1186/1916-0216-42-49

 received in 2013-04-15, accepted in 2013-09-14,  发布年份 2013

【 摘 要 】

Background

A mastoid cavity resulting from a canal wall down mastoidectomy can result in major morbidity for patients due to chronic otorrhea and infection, difficulty with hearing aids and vertigo with temperature changes. Mastoid obliteration with reconstruction of the bony external ear canal recreates the normal anatomy to avoid such morbidity. Few have the studied the quality of life benefit that this procedure confers.

Methods

This retrospective observational study was conducted to determine if mastoid obliteration with autologous cranial bone graft following mastoidectomy improves quality of life (QOL). Patients with cholesteatoma who had mastoidectomy with primary or secondary mastoid obliteration by a tertiary otologist were surveyed using the validated Glasgow Benefit Inventory (GBI), our primary outcome measure.

Results

Fifty-eight patients were interviewed. Forty-six were primary obliteration after canal wall down mastoidectomy of a primary cholesteatoma. Twelve were secondary obliteration of an existing canal wall down mastoid cavity. Overall GBI scores were improved, with average scores of 22. Average general subscale scores were 23, physical health scores were 25, and social health scores were 22. The primary obliteration group had average scores of 19, general subscale scores of 20, physical health scores of 21, and social health scores of 22. Those with secondary obliteration scored higher, with average scores of 31, general subscale scores of 34, physical health scores of 39, and social health scores of 25.

Conclusion

This study shows that mastoidectomy with obliteration using autologous cranial bone graft offers a significant QOL benefit. The GBI scores compare favourably with other otorhinolaryngology procedures. Secondary obliterations after revision mastoidectomy scored much higher than primary obliterations. This is currently the only QOL study comparing these two patient groups.

【 授权许可】

   
2013 Kurien et al.; licensee BioMed Central Ltd.

【 图 表 】

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