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Day-case management of chronic suppurative otitis media with cholesteatoma with canal wall down technique surgery: long-term follow-up

Giovanni Ralli, Giuseppe Nola, Alberto Taglioni, Michele Grasso, Massimo Ralli
  • Giovanni Ralli
    Department of Sense Organs, La Sapienza University, Rome, Italy
  • Giuseppe Nola
    ENT Unit, G.B. Grassi Hospital, Ostia, Rome, Italy
  • Alberto Taglioni
    Anesthesiology Unit, G.B. Grassi Hospital, Ostia (RM), Italy
  • Michele Grasso
    Department of Sense Organs, La Sapienza University, Rome, Italy
  • Massimo Ralli
    Department of Oral and Maxillofacial Sciences, La Sapienza University, Rome, Italy | massimo.ralli@uniroma1.it

Abstract

The overall number of day-case otologic surgery cases is increasing; however, there is limited experience about performing canal wall down tympanoplasty in patients with chronic suppurative otitis media with cholesteatoma in this setting. The objective of this study was to assess the success of this technique as daycase surgery in terms of results and complications over an 8-year follow up period. We included in this study 42 patients undergoing canal wall down technique tympanoplasty surgery for chronic suppurative otitis media with cholesteatoma performed as day cases during a 2-year period. 30 cases (71.4%) were discharged on the day of surgery, whereas 12 cases (28.6%) were hospitalized and discharged the day after. The principal reasons for failure of discharge on the day of surgery were asthenia (6 cases), vertigo and asthenia (4 cases), undetermined (2 cases). Based on our experience, with a proper preoperative selection, assessment and screening of the patients, mastoidectomy with timpanoplasty for chronic suppurative otitis media with cholesteatoma can be carried out in a day surgery setting with no significant effects on effectiveness of surgery, post-operative symptoms and relapse of disease even in the long term.

Keywords

Day case surgery; canal wall down tympanoplasty; chronic suppurative otitis media; cholesteatoma; tympanoplasty.

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Submitted: 2017-06-26 14:27:48
Published: 2017-10-03 14:35:54
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Copyright (c) 2017 Giovanni Ralli, Giuseppe Nola, Alberto Taglioni, Michele Grasso, Massimo Ralli

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