Abstract

A cross sectional prospective observational study was conducted in department of ENT at an institute in central India. Patients of all age and gender with unsafe csom and limited cholesteatoma (attic and antrum) willing for regular followup were included, patients with malignancy and extensive cholesteatoma with complications were excluded from this study. After history and otoendoscopic examination, Pure tone audiometry and CT scan of temporal bone were done to evaluate hearing, extent of cholesteatoma preoperatively. Patients underwent inside out mastoidectomy and were followed up postoperatively at 1 month and 3month. Out of 40 patients included in this study, 35 had improvement in hearing postoperatively and presented with a small dry postoperative cavity,3 patients had reduced hearing but cavity was clean and 2 patients had wax accumulation in cavity with decreased hearing. It was concluded that inside out mastoidectomy is an approach which can be used in patients with limited cholesteatoma as it offers successful eradication of disease from middle ear with less postoperative complications.

Description