Spontaneous Retraction Pockets in Chronic Otitis Media Medical and Surgical Therapy

Results of a series of 228 spontaneous retraction pockets in chronic otitis media are reported and a classification is proposed. Under medical therapy, 78 retraction pockets of stage I and II (out of 95) were followed for five years. Sixteen percent deteriorated into stage III and were operated on;...

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Published inEar, nose & throat journal Vol. 71; no. 11; pp. 578 - 583
Main Authors Charachon, Robert, Barthez, M., Lejeune, J. M.
Format Journal Article Conference Proceeding
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.11.1992
Medquest Communications
Subjects
Adult
Biological and medical sciences
Child
Chronic Disease
Ear Diseases - etiology
Ear Diseases - surgery
Ear Diseases - therapy
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Immunotherapy
Male
Medical sciences
Otitis Media with Effusion - complications
Recurrence
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the ear, the auditive nerve and the facial nerve
Surgical Procedures, Operative - methods
Treatment Outcome
Tympanic Membrane - surgery
Human
Tympanum
Hearing
Treatment
Middle ear disease
Surgery
Treatment efficiency
ENT disease
Complication
Otitis media
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Summary:Results of a series of 228 spontaneous retraction pockets in chronic otitis media are reported and a classification is proposed. Under medical therapy, 78 retraction pockets of stage I and II (out of 95) were followed for five years. Sixteen percent deteriorated into stage III and were operated on; the others stabilized or improved towards normal tympanic membrane (23%). Different methods of surgical therapy were used in 150 retraction pockets (all the stages III and many stages II). Even with silastic sheeting and strengthening of the tympanic membrane, a recurrent retraction pocket was observed in 24 cases (16%). Functional results were obviously better when the ossicular chain was rebuilt from an intact malleus to an intact stapes and either from an intact malleus to a mobile footplate or from the tympanic membrane to an intact stapes. Surgery of retraction pockets must be used not only to prevent cholesteatoma formation but also to prevent erosion of the stapes.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0145-5613
1942-7522
DOI:10.1177/014556139207101109