eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Middle Ear & Mastoid

Middle Ear, Chronic Suppurative Otitis, Surgical Treatment: Follow-up

Author: Peter A Weisskopf, MD, Neurotologist, Arizona Otolaryngology Consultants; Head, Section of Neurotology, Barrow Neurological Institute
Coauthor(s): Anurag Jain, MBBS, FRCS(Ire), MS, FRCS(Oto), MS(Oto), DLO(RCSEngland), Specialist Registrar, Department of Otolaryngology, Pinderfields General Hospital, Wakefield, UK; Jeffrey Robert Knight, MBChB, FRCS, Consulting Surgeon, Department of Otolaryngology, Mayday University Hospital, London
Contributor Information and Disclosures

Updated: Oct 22, 2009

Outcome and Prognosis

Tympanoplasty provides most patients with a healed dry ear. In patients with cholesteatoma, staged procedures are often necessary, and residual cholesteatoma is evaluated during ossicular reconstruction. Keep in mind that chronic ear disease is just that—chronic. These patients often suffer recurrence over time, and regular lifetime surveillance is normal.

The general and most desirable outcome for a patient who has undergone a tympanomastoidectomy is a dry, nondischarging, healthy ear. Long-term follow-up care of these patients is essential to detect the recurrence of cholesteatoma at its earliest onset. In such cases, a second procedure may be necessary. The likelihood of hearing preservation depends on the extent of the disease and the involvement of the ossicles, and it varies widely.

 


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References

References

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Further Reading

Keywords

chronic suppurative otitis, chronic suppurative otitis media, otitis media, myringoplasty, tympanoplasty, mastoidectomy, ossicular reconstruction, ossiculoplasty, ossicular chain, tympanic membrane, malleus, incus, stapes, fenestration operation, semicircular canal

Contributor Information and Disclosures

Author

Peter A Weisskopf, MD, Neurotologist, Arizona Otolaryngology Consultants; Head, Section of Neurotology, Barrow Neurological Institute
Peter A Weisskopf, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and American College of Surgeons
Disclosure: Nothing to disclose.

Coauthor(s)

Anurag Jain, MBBS, FRCS(Ire), MS, FRCS(Oto), MS(Oto), DLO(RCSEngland), Specialist Registrar, Department of Otolaryngology, Pinderfields General Hospital, Wakefield, UK
Anurag Jain, MBBS, FRCS(Ire), MS, FRCS(Oto), MS(Oto), DLO(RCSEngland) is a member of the following medical societies: Association of Otolaryngologists of India, British Association of Otorhinolaryngologists, Head and Neck Surgeons, British Medical Association, Royal College of Surgeons in Ireland, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

Jeffrey Robert Knight, MBChB, FRCS, Consulting Surgeon, Department of Otolaryngology, Mayday University Hospital, London
Disclosure: Nothing to disclose.

Medical Editor

John C Li, MD, Private Practice in Otology and Neurotology; Medical Director, Balance Center
John C Li, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Neurotology Society, American Tinnitus Association, Florida Medical Association, and North American Skull Base Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Gregory C Allen, MD, Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Gregory C Allen, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Laryngological Rhinological and Otological Society, American Medical Association, Christian Medical & Dental Society, and Colorado Medical Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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