Hostname: page-component-6766d58669-bp2c4 Total loading time: 0 Render date: 2026-05-14T19:38:25.410Z Has data issue: false hasContentIssue false
  • English
  • Français

Focal meato-mastoid fistula closure using bony sigmoid sinus plate

Published online by Cambridge University Press:  11 January 2022

S Indorewala ,
K Parelkar Open the ORCID record for K Parelkar [Opens in a new window] ,
A Indorewala ,
G Mahajan  and
D Shere
S Indorewala
Affiliation:
ENT Department, Indorewala ENT Hospital and Research Centre, Nashik, India
K Parelkar*
Affiliation:
ENT Department, Indorewala ENT Hospital and Research Centre, Nashik, India
A Indorewala
Affiliation:
ENT Department, Indorewala ENT Hospital and Research Centre, Nashik, India
G Mahajan
Affiliation:
ENT Department, Indorewala ENT Hospital and Research Centre, Nashik, India
D Shere
Affiliation:
ENT Department, Indorewala ENT Hospital and Research Centre, Nashik, India
*
Author for correspondence: Dr K Parelkar, ENT Department, Indorewala ENT Hospital and Research Centre, Behind Mahamarg Bus Stand, Old Mumbai Naka, Gaikwad Nagar, Nashik, Maharashtra 422002, India E-mail: kartikparelkar@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This study aimed to analyse the effectiveness of using the bony sigmoid sinus plate for repair of meato-mastoid fistulae.

Method

A retrospective study of all cases between January 2013 and December 2019 at our secondary-tertiary centre was conducted. Inclusion criteria for study were: (1) cases with focal meato-mastoid fistulae and (2) focal meato-mastoid fistulae that were repaired by using bony sigmoid sinus plate using the bony sigmoid sinus plate technique. There were 13 cases that fulfilled these criteria.

Results

The outcome of the repair of meato-mastoid fistulae with bony sigmoid sinus plate was very encouraging. All 13 cases did well. Two patients had delayed epithelialisation at 9 and 12 months after surgery.

Conclusion

The technique of repairing meato-mastoid fistulae by using bony sigmoid sinus plate is simple, repeatable and provides effective physiological reconstruction of the posterior canal wall. Bony sigmoid sinus plate is easily and locally available in all cases undergoing cortical mastoidectomy. This plate of bone has a curvature, consistency and structure that match well with that of the posterior or superior canal wall. In addition, this technique is cost-effective with good patient compliance.

Keywords

EarEar CanalMastoidOtologic Surgical ProceduresRepairTemporal Bone

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 2 , February 2023 , pp. 151 - 157
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Dr K Parelkar takes responsibility for the integrity of the content of the paper

Presented at 27th Annual National Conference of the Indian Society of Otology, 16–18 November 2018, Mysuru, India.

References

Gluth, MB, Sunde, J. Vascularized reconstruction of partial external auditory canal wall defects using the middle temporal artery flap. Otol Neurotol 2014;35:31–5CrossRefGoogle ScholarPubMed
Sudhoff, H, Brors, D, Al-Lawati, A, Gimenez, E, Dazert, S, Hildmann, H. Posterior canal wall reconstruction with a composite cartilage titanium mesh graft in canal wall down tympanoplasty and revision surgery for radical cavities. J Laryngol Otol 2006;120:832–6CrossRefGoogle ScholarPubMed
Grote, JJ, van Blitterswijk, CA. Reconstruction of the posterior auditory canal wall with a hydroxyapatite prosthesis. Ann Otol Rhinol Laryngol 1986;95:6–9CrossRefGoogle Scholar
Parelkar, K, Shere, D, Shah, K. Butterfly tragal cartilage for repair of focal canal wall defects. Acta Otorrinolaringol Esp 2020;71:88–92CrossRefGoogle ScholarPubMed
Althaus, SR. Tympanomastoid surgery: a technique for repairing posterior osseous canal wall defects with autologous temporalis fascia and bone pate. Otolaryngol Head Neck Surg 1985;93:227–9CrossRefGoogle ScholarPubMed
Cho, SI. Precise reconstruction of auditory canal defect in external auditory canal cholestestoma with bonewax template. J Case Rep Med 2013;1:66–7CrossRefGoogle Scholar
Persaud, RAP, Hajioff, D, Thevasagayam, MS, Wareing, MJ, Wright, A. Keratosis obturans and external ear canal cholesteatoma. Clin Otolaryngol 2004;29:577–81CrossRefGoogle ScholarPubMed
Pou, JW, Chambers, CL. Neuroma of the chorda tympani nerve. Laryngoscope 1974;84:1170–4CrossRefGoogle ScholarPubMed
Kirazli, T, Oner, K, Bilgen, C, Ovül, I, Midilli, R. Facial nerve neuroma: clinical, diagnostic, and surgical features. Skull Base 2004;14:115–20CrossRefGoogle ScholarPubMed
Anand, VT, Latif, MA, Smith, WP. Defects of the external auditory canal: a new reconstruction technique. J Laryngol Otol 2000;114:279–82CrossRefGoogle ScholarPubMed
Eisenman, DJ, Raghavan, P, Hertzano, R, Morales, R. Evaluation and treatment of pulsatile tinnitus associated with sigmoid sinus wall anomalies. Laryngoscope 2018;128:1–13CrossRefGoogle ScholarPubMed