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Mastoid cavity obliteration using bone pâté versus bioactive glass granules in the management of chronic otitis media (squamous disease): a prospective comparative study

Published online by Cambridge University Press:  12 May 2021

A K Mishra ,
A Mallick ,
J R Galagali ,
A Gupta ,
A Sethi  and
A Ghotra
A K Mishra*
Affiliation:
Department of Otorhinolaryngology – Head Neck Surgery, Army College of Medical Sciences and Base Hospital, Delhi, India
A Mallick
Affiliation:
Department of Otorhinolaryngology – Head Neck Surgery, Army College of Medical Sciences and Base Hospital, Delhi, India
J R Galagali
Affiliation:
Department of Otorhinolaryngology – Head Neck Surgery, Army College of Medical Sciences and Base Hospital, Delhi, India
A Gupta
Affiliation:
Department of Otorhinolaryngology – Head Neck Surgery, Army College of Medical Sciences and Base Hospital, Delhi, India
A Sethi
Affiliation:
Department of Otorhinolaryngology – Head Neck Surgery, Army College of Medical Sciences and Base Hospital, Delhi, India
A Ghotra
Affiliation:
Department of Otorhinolaryngology – Head Neck Surgery, Army College of Medical Sciences and Base Hospital, Delhi, India
*
Author for correspondence: Professor Awadhesh Kumar Mishra, Department of Otorhinolaryngology – Head Neck Surgery, Army College of Medical Sciences and Base Hospital, Delhi Cantt – 110010, India E-mail: buddhiprakash@rediffmail.com Fax: +91 11 2569 8691
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Abstract

Objective

To compare the efficacy of bone pâté versus bioactive glass in mastoid obliteration.

Method

This randomised parallel groups study was conducted at a tertiary care centre between September 2017 and August 2019. Sixty-eight patients, 33 males and 35 females, aged 12–56 years, randomly underwent single-stage canal wall down mastoidectomy with mastoid obliteration using either bone pâté (n = 35) or bioactive glass (n = 33), and were evaluated 12 months after the operation.

Results

A dry epithelised cavity (Merchant's grade 0 or 1) was achieved in 65 patients (95.59 per cent). Three patients (4.41 per cent) showed recidivism. The mean air–bone gap decreased to 16.80 ± 4.23 dB from 35.10 ± 5.21 dB pre-operatively. The mean Glasgow Benefit Inventory score was 30.02 ± 8.23. There was no significant difference between the two groups in these outcomes. However, the duration of surgery was shorter in the bioactive glass group (156.87 ± 7.83 vs 162.28 ± 8.74 minutes; p = 0.01).

Conclusion

The efficacy of both materials was comparable.

Keywords

Otitis MediaCholesteatomaMastoidectomyRecidivismInfection ControlQuality Of Life

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 6 , June 2021 , pp. 492 - 500
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Prof A K Mishra takes responsibility for the integrity of the content of the paper

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