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Mastoidectomy in surgical procedures to treat retraction pockets: a single-center experience and review of the literature

PURPOSE: Retraction pocket (RP) is a common event affecting the middle ear when a negative pressure within it causes a retraction of a single part of the tympanic membrane (TM). Patients can be asymptomatic or can experience hearing loss, fullness feeling and/or ear discharge. RP can be stable or de...

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Autores principales: Immordino, Angelo, Salvago, Pietro, Sireci, Federico, Lorusso, Francesco, Immordino, Palmira, Saguto, Dario, Martines, Francesco, Gallina, Salvatore, Dispenza, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9899731/
https://www.ncbi.nlm.nih.gov/pubmed/35947150
http://dx.doi.org/10.1007/s00405-022-07573-7
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author Immordino, Angelo
Salvago, Pietro
Sireci, Federico
Lorusso, Francesco
Immordino, Palmira
Saguto, Dario
Martines, Francesco
Gallina, Salvatore
Dispenza, Francesco
author_facet Immordino, Angelo
Salvago, Pietro
Sireci, Federico
Lorusso, Francesco
Immordino, Palmira
Saguto, Dario
Martines, Francesco
Gallina, Salvatore
Dispenza, Francesco
author_sort Immordino, Angelo
collection PubMed
description PURPOSE: Retraction pocket (RP) is a common event affecting the middle ear when a negative pressure within it causes a retraction of a single part of the tympanic membrane (TM). Patients can be asymptomatic or can experience hearing loss, fullness feeling and/or ear discharge. RP can be stable or develop a cholesteatoma; aim of the study was to investigate if mastoidectomy may play a role in the surgical management of patients suffering from RP, both reporting our experience and discussing the existing literature. METHODS: Fifty-one patients affected by RP were referred for surgery and randomly divided into two groups. Patients of G1 group underwent tympanoplasty with mastoidectomy, patients of G2 group underwent tympanoplasty only. A systematic review of the literature was then carried out by applying the PRISMA guidelines. RESULTS: The mean follow-up lasted about 36 months. The G1 and G2 groups reached a postoperative mean air–bone gap (ABG) of 7.1 dB HL and 5.1 dB HL, respectively, with a mean ABG improvement of 13.2 dB HL and 12.4 dB HL. An ABG improvement was observed in the 59.7% of the G1 group and in the 63.2% of the G2 group, respectively (p > 0.5). Only one case of long-term complication was recognized in the G1 group. We combined, integrated and analyzed results of our prospective study with results of the literature review. CONCLUSIONS: Based on the combined results of our study and literature review we may conclude that there is no evident benefit in performing mastoidectomy for the treatment of RP. In fact, no differences in ABG improvement or in RP recurrence were reported between the two groups.
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spelling pubmed-98997312023-02-07 Mastoidectomy in surgical procedures to treat retraction pockets: a single-center experience and review of the literature Immordino, Angelo Salvago, Pietro Sireci, Federico Lorusso, Francesco Immordino, Palmira Saguto, Dario Martines, Francesco Gallina, Salvatore Dispenza, Francesco Eur Arch Otorhinolaryngol Otology PURPOSE: Retraction pocket (RP) is a common event affecting the middle ear when a negative pressure within it causes a retraction of a single part of the tympanic membrane (TM). Patients can be asymptomatic or can experience hearing loss, fullness feeling and/or ear discharge. RP can be stable or develop a cholesteatoma; aim of the study was to investigate if mastoidectomy may play a role in the surgical management of patients suffering from RP, both reporting our experience and discussing the existing literature. METHODS: Fifty-one patients affected by RP were referred for surgery and randomly divided into two groups. Patients of G1 group underwent tympanoplasty with mastoidectomy, patients of G2 group underwent tympanoplasty only. A systematic review of the literature was then carried out by applying the PRISMA guidelines. RESULTS: The mean follow-up lasted about 36 months. The G1 and G2 groups reached a postoperative mean air–bone gap (ABG) of 7.1 dB HL and 5.1 dB HL, respectively, with a mean ABG improvement of 13.2 dB HL and 12.4 dB HL. An ABG improvement was observed in the 59.7% of the G1 group and in the 63.2% of the G2 group, respectively (p > 0.5). Only one case of long-term complication was recognized in the G1 group. We combined, integrated and analyzed results of our prospective study with results of the literature review. CONCLUSIONS: Based on the combined results of our study and literature review we may conclude that there is no evident benefit in performing mastoidectomy for the treatment of RP. In fact, no differences in ABG improvement or in RP recurrence were reported between the two groups. Springer Berlin Heidelberg 2022-08-10 2023 /pmc/articles/PMC9899731/ /pubmed/35947150 http://dx.doi.org/10.1007/s00405-022-07573-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Otology
Immordino, Angelo
Salvago, Pietro
Sireci, Federico
Lorusso, Francesco
Immordino, Palmira
Saguto, Dario
Martines, Francesco
Gallina, Salvatore
Dispenza, Francesco
Mastoidectomy in surgical procedures to treat retraction pockets: a single-center experience and review of the literature
title Mastoidectomy in surgical procedures to treat retraction pockets: a single-center experience and review of the literature
title_full Mastoidectomy in surgical procedures to treat retraction pockets: a single-center experience and review of the literature
title_fullStr Mastoidectomy in surgical procedures to treat retraction pockets: a single-center experience and review of the literature
title_full_unstemmed Mastoidectomy in surgical procedures to treat retraction pockets: a single-center experience and review of the literature
title_short Mastoidectomy in surgical procedures to treat retraction pockets: a single-center experience and review of the literature
title_sort mastoidectomy in surgical procedures to treat retraction pockets: a single-center experience and review of the literature
topic Otology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9899731/
https://www.ncbi.nlm.nih.gov/pubmed/35947150
http://dx.doi.org/10.1007/s00405-022-07573-7
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