Tympanoplasty, ventilation tubes and mastoidectomy in the treatment of adhesive otitis

Abstract

Adhesive otitis is a relative common sequela of chronic otitis media with effusion. Mastoidectomy for the treatment of adhesive otitis (AO) is controversial. This study includes 22 ears from 20 patients who were treated with mastoidectomy and tympanoplasty with tympanostomy tube insertions. Ears with cholesteatoma and purulent drainage were excluded. All the patients were accepted as Grade 4 according to the classification of Sade. Postoperative air-bone gap levels revealed no difference between patients in our study in comparison to patients from other studies who underwent only tympanoplasty and placement of ventilation tubes without mastoidectomy. Mastoidectomy is needed only when retraction pockets can not be approached by external auditory canal.