eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Middle Ear & Mastoid
Middle Ear, Chronic Suppurative Otitis, Surgical Treatment: Follow-up
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
McKenzie W, Brothwell D. Disease in the Ear. Disease in Antiquity. 1967;464-73.
Gregg JB, Steele JP, Holzhueter A. Roentgenographic evaluation of temporal bones from South Dakota Indian burials. American Journal of Physical Anthropology. 1965;23:51-62.
Rathbun TA, Mallin R. Middle ear disease in a prehistoric Iranian population. Bull N Y Acad Med. Dec 1977;53(10):901-5. [Medline].
Fairbanks DN. Antimicrobial therapy for chronic suppurative otitis media. Ann Otol Rhinol Laryngol Suppl. May-Jun 1981;90(3 Pt 3):58-62. [Medline].
Maynard JE, Fleshman JK, Tschopp CF. Otitis media in Alaskan Eskimo children. Prospective evaluation of chemoprophylaxis. JAMA. Jan 31 1972;219(5):597-9. [Medline].
McCafferty CJ, Coman WB, Shaw E. Cholesteatoma in Australian aboriginal children. Cholesteatoma: First International Congress. 1977.
Meyrick PS. The incidence of diseases of the ear, nose and throat; a survey of a remote native reserve. S Afr Med J. Sep 29 1951;25(39):701-4. [Medline].
Booth JB, Kerr AJ. Scott-Brown's Otolaryngology (Otology). 1987.
Brackmann, et al. Otologic Surgery. Second Edition. 2001.
Kim HH, Battista RA, Kumar A, Wiet RJ. Should ossicular reconstruction be staged following tympanomastoidectomy. Laryngoscope. Jan 2006;116(1):47-51. [Medline].
Leskinen K, Jero J. Acute complications of otitis media in adults. Clin Otolaryngol. Dec 2005;30(6):511-6. [Medline].
Ludman H, Wright T. Diseases of the Ear. 1998.
McMurphy AB, Oghalai JS. Repair of iatrogenic temporal lobe encephalocele after canal wall down mastoidectomy in the presence of active cholesteatoma. Otol Neurotol. Jul 2005;26(4):587-94. [Medline].
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
Follow-up: Middle Ear, Chronic Suppurative Otitis, Surgical Treatment