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- W2086908556 abstract "To determine the effect of closing the bone defect of the mastoid cortex using bone pate after mastoidectomy (mastoid cortex plasty) during the first-stage operation for the restoration of the mastoid cavity aeration.This was a prospective study.Tertiary medical center.Thirty-five patients with cholesteatoma invading the mastoid cavity.Seventeen patients received mastoid cortex plasty with scutum plasty and insertion of a Silastic sheet after removal of the cholesteatoma using a combined approach during the first-stage operation. The 18 control patients received only scutum plasty with the insertion of a Silastic sheet without mastoid cortex plasty during the first-stage operation.The restoration of the middle ear aeration was assessed with high-resolution computed tomography before both the first-stage operation and the second-stage operation.The range of middle ear aeration ameliorated significantly whether or not mastoid cortex plasty was performed. Scutum plasty with the insertion of a Silastic sheet without mastoid cortex plasty was significantly effective only for the amelioration of the epitympanum aeration. Mastoid cortex plasty with scutum plasty with the insertion of a Silastic sheet was significantly effective for the amelioration of the epitympanum and also the mastoid cavity aeration. In both groups, before the first-stage operation, approximately 70% of the patients had good mesotympanum aeration, and the mesotympanum aeration ameliorated further after the first-stage operation, although this amelioration was not significant.Mastoid cortex plasty is statistically effective for the amelioration of mastoid cavity aeration after the first-stage operation." @default.
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- W2086908556 date "2002-07-01" @default.
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- W2086908556 title "Efficacy of Mastoid Cortex Plasty for Middle Ear Aeration in Intact Canal Wall Tympanoplasty for Cholesteatoma" @default.
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- W2086908556 doi "https://doi.org/10.1097/00129492-200207000-00005" @default.
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