PROPORTION OF CAVITY PROBLEMS AND ITS ASSOCIATED FACTORS POSTMODIFIED RADICAL MASTOIDECTOMY IN PATIENTS OF ACTIVE SQUAMOSAL TYPE OF CHRONIC OTITIS MEDIA: AN ANALYTICAL CROSS-SECTIONAL STUDY

NITIN DEOSTHALE; SANJEEVANI MANGADE; SONALI KHADAKKAR; VALLABH KULKARNI

doi:10.22159/ajpcr.2025v18i9.55165

Authors

NITIN DEOSTHALE Department of ENT, NKPSIMS and RC, Nagpur, Maharashtra, India.
SANJEEVANI MANGADE Department of ENT, NKPSIMS and RC, Nagpur, Maharashtra, India.
SONALI KHADAKKAR Department of ENT, NKPSIMS and RC, Nagpur, Maharashtra, India.
VALLABH KULKARNI Department of ENT, NKPSIMS and RC, Nagpur, Maharashtra, India.

DOI:

https://doi.org/10.22159/ajpcr.2025v18i9.55165

Keywords:

Chronic otitis media, Squamosal type, Modified radical mastoidectomy, Post-operative cavity problems

Abstract

Objective: The objective of the study is to determine the proportion of cavity problems and their associated factors following modified radical mastoidectomy (MRM) in patients with active squamosal of type chronic otitis media (COM).

Methods: An analytical cross-sectional study was conducted in the Otorhinolaryngology Department of a tertiary healthcare institute in India. 65 patients who underwent MRM for active squamosal COM were included in this study. Patients were evaluated at 3 months postoperatively for cavity-related problems, such as persistent ear discharge, giddiness, hearing loss, dependency for cleaning of the mastoid cavity by means of detailed otological and audiological assessment, and bacteriological analysis of discharging cavities.

Results: Among the 65 patients, 26.2% reported otalgia, 23.1% had persistent ear discharge, and 23.1% experienced hearing loss at 3-month follow-up. Blocking sensation in the ear was noted in 15.4%. Giddiness and facial palsy were observed in 12.4% and 7.69% of cases, respectively. The study identified significant factors associated with cavity problems, including inadequate meatoplasty, high facial ridge, granulation tissue, unepithelialized cavity, and recurrent disease.

Conclusion: Post-operative cavity issues remain a prevalent concern, necessitating meticulous surgical technique and comprehensive post-operative care to improve outcomes. Identifying and addressing risk factors associated with persistent cavity problems can enhance patient recovery, reduce financial burdens, and improve overall quality of life.

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