Acetic Acid Instillation after Canal Wall Down Mastoidectomy
Introduction: Persistent otorrhoea and granulation tissue in the mastoid cavity are common post-operative complications of Canal Wall Down Mastoidectomy. In order to avoid the same and to achieve a dry cavity instillation of acetic acid into the mastoid cavity during the post operative period is co...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
The Association of Otolaryngologists of India, West Bengal
2015-12-01
|
Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
Subjects: | |
Online Access: | http://bjohns.in/journal/index.php/bjohns/article/view/97 |
id |
doaj-9725dc8665724e11adcddfea0607061c |
---|---|
record_format |
Article |
spelling |
doaj-9725dc8665724e11adcddfea0607061c2020-11-25T00:19:42ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-23932395-24072015-12-0123310410863Acetic Acid Instillation after Canal Wall Down MastoidectomyHamsa Shetty0Gangadhara K S1Junior Resident, Dept. of ENT, SIMS, ShimogaProfessor and HOD shimoga Institute of Medical Sciences shimoga karnataka indiaIntroduction: Persistent otorrhoea and granulation tissue in the mastoid cavity are common post-operative complications of Canal Wall Down Mastoidectomy. In order to avoid the same and to achieve a dry cavity instillation of acetic acid into the mastoid cavity during the post operative period is common practice. Materials and Methods In this study we assessed the results of 4% acetic acid instillation in varying quantity and frequency, in the ears after modified radical mastoidectomy. 40 Patients of chronic suppurative otitis media (atticoantral) / cholesteatoma, who underwent modified radical mastoidectomy during one and a half year period, were included in the study. The patients were divided into two groups; Group A with 30 patients and Group B with 10 patients, by simple randomization method. Group A patients were asked to instill 4% acetic acid approximately 10 to 12 drops (generously) into the mastoid cavity thrice a day for 8 weeks and were followed up every week. 10 patients of Group B were asked to instill the same preparation only once weekly and followed up for the next 12 weeks. Results: In Group A, dry mastoid cavity was achieved remarkably faster within six to eight weeks and in all the 30 patients. In Group B the results were delayed by up to 4 to 6 weeks in comparison to the Group A patients. Conclusion: Though acetic acid instillation is known to help in achieving a dry cavity but a slightly higher concentration (4% acetic acid) used more frequently is highly effective in rendering dry cavity much earlier without proliferation of granulation tissue.http://bjohns.in/journal/index.php/bjohns/article/view/97Otitis Media, SuppurativeAcetic AcidMastoid. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hamsa Shetty Gangadhara K S |
spellingShingle |
Hamsa Shetty Gangadhara K S Acetic Acid Instillation after Canal Wall Down Mastoidectomy Bengal Journal of Otolaryngology and Head Neck Surgery Otitis Media, Suppurative Acetic Acid Mastoid. |
author_facet |
Hamsa Shetty Gangadhara K S |
author_sort |
Hamsa Shetty |
title |
Acetic Acid Instillation after Canal Wall Down Mastoidectomy |
title_short |
Acetic Acid Instillation after Canal Wall Down Mastoidectomy |
title_full |
Acetic Acid Instillation after Canal Wall Down Mastoidectomy |
title_fullStr |
Acetic Acid Instillation after Canal Wall Down Mastoidectomy |
title_full_unstemmed |
Acetic Acid Instillation after Canal Wall Down Mastoidectomy |
title_sort |
acetic acid instillation after canal wall down mastoidectomy |
publisher |
The Association of Otolaryngologists of India, West Bengal |
series |
Bengal Journal of Otolaryngology and Head Neck Surgery |
issn |
2395-2393 2395-2407 |
publishDate |
2015-12-01 |
description |
Introduction:
Persistent otorrhoea and granulation tissue in the mastoid cavity are common post-operative complications of Canal Wall Down Mastoidectomy. In order to avoid the same and to achieve a dry cavity instillation of acetic acid into the mastoid cavity during the post operative period is common practice.
Materials and Methods
In this study we assessed the results of 4% acetic acid instillation in varying quantity and frequency, in the ears after modified radical mastoidectomy.
40 Patients of chronic suppurative otitis media (atticoantral) / cholesteatoma, who underwent modified radical mastoidectomy during one and a half year period, were included in the study. The patients were divided into two groups; Group A with 30 patients and Group B with 10 patients, by simple randomization method. Group A patients were asked to instill 4% acetic acid approximately 10 to 12 drops (generously) into the mastoid cavity thrice a day for 8 weeks and were followed up every week. 10 patients of Group B were asked to instill the same preparation only once weekly and followed up for the next 12 weeks.
Results:
In Group A, dry mastoid cavity was achieved remarkably faster within six to eight weeks and in all the 30 patients. In Group B the results were delayed by up to 4 to 6 weeks in comparison to the Group A patients.
Conclusion:
Though acetic acid instillation is known to help in achieving a dry cavity but a slightly higher concentration (4% acetic acid) used more frequently is highly effective in rendering dry cavity much earlier without proliferation of granulation tissue. |
topic |
Otitis Media, Suppurative Acetic Acid Mastoid. |
url |
http://bjohns.in/journal/index.php/bjohns/article/view/97 |
work_keys_str_mv |
AT hamsashetty aceticacidinstillationaftercanalwalldownmastoidectomy AT gangadharaks aceticacidinstillationaftercanalwalldownmastoidectomy |
_version_ |
1725370593063206912 |