DOI: https://doi.org/10.22263/2312-4156.2024.6.9
I.I. Gornostay, N.I. Hreben, E.D. Mikhelis, A.Y. Stashkevich
Contemporary approaches to parathympanic spaces obliteration resulted from mastoidectomy (literature review)
Republican Scientific and Practical Center of Otorhinolaryngology, Minsk, Republic of Belarus
Vestnik VGMU. 2024;23(6):9-18.
Abstract.
Autogenous, allogeneic and synthetic materials are used in ear surgery for filling mastoid cavities after mastoidectomy. Autografts have the advantage over other materials due to full biological compatibility and are used for mastoid obliteration in the absolute majority of cases. Allogeneic tissues could be an alternative in case of the patient’s tissue deficiency. Modern technologies allow performing sufficient antigenic purification and disinfection of allografts, so one can be sure in their biological safety. Artificial materials, in particular, hydroxyapatite has an excellent biocompatibility and osteoinductive properties, as it is the bone mineral matrix. The choice of a method for the ear intervention and mastoid obliteration in chronic suppurative otitis media is determined by the prevalence of the pathologic process, the presence of changes in the middle ear cavities caused by previous interventions, the surgeon’s skills and technical and economic possibilities of using particular surgical technique. Obliteration of the mastoid cavity improves functional results and reduces recurrent cholesteatoma incidence; therefore, it should be routinely used in the otosurgical practice on a permanent basis.
Keywords: chronic suppurative otitis media, mastoid obliteration, osteoinductivity, mastoid cavity, mastoidectomy, allotransplantation.
References
1. Kolyadich ZhV, Makarina-Kibak LE, Zatoloka DA, Greben NI. Modern approaches to the treatment of chronic purulent otitis media. Otorinolaringologija Belarusi. 2011;(2):74-81. (In Russ.)
2. Greben NI, Makarina-Kibak LE, Eremenko YuE, Kolyadich ZhV, Zatoloka DA. Reconstructive mastoidoplasty in middle ear sanitizing surgeries. Zhurn Ushnykh Nosovykh Gorlovykh Boleznei. 2011;(5-с):43-44. (In Russ.)
3. Khorov OG; Grodn gos med un-t. Basic fundamentals of otology: posobie dlja studentov lecheb i pediatr fak, vrachej-internov, klinich ordinatorov po special'nosti "Otorinolaringologija". Grodno, RB: GrGMU; 2013. 80 р. (In Russ.)
4. Brown JS. A ten year statistical follows up of 1142 consecutive cases of cholesteatoma. The close and the open technique. Laryngoscope. 1982 Apr;92(4):390-6. doi: http://dx.doi.org/10.1288/00005537-198204000-00007
5. Merchant SN, Ravicz ME, Puria S, Voss SE, Whittemore KR, Peake WT, et al. Analysis of middle ear mechanics and application to diseased and reconstruced ears. Am J Otol. 1997 Mar;18(2):139-154.
6. Yanov YuK, Sitnikov VP, Anikin IA, Kuzovkov VE, Anikin MI. Disease of the operated ear: clinical characteristics and pathomorphologic rationale. Ros Otorinolaringologija. 2005;(4):149-154. (In Russ.)
7. Garov EV, Khamzalieva RB, Zelenkova VN, Garova EE, Meparishvili AS, Lapenko EG. Treatment and treatment of patients with chronic purulent otitis media in Moscow. Vestn Otorinolaringologii. 2018;83(5):26-30. (In Russ.). doi: http://dx.doi.org/10.17116/otorino20188305126
8. Beutner D, Stumpf R, Zahnert T, Hüttenbrink K-B. Long-term results following mastoid obliteration in canal wall down tympanomastoidectomy. Laryngorhinootologie. 2007 Dec;86(12):861-866. doi: http://dx.doi.org/10.1055/s-2007-966782
9. Grewal DS, Hathiram BT, Saraiya SV. Canal wall down tympanomastoidectomy: the ‚on-disease‘ approach for retraction pockets and cholesteatoma. J Laryngol Otol. 2007 Sep;121(9):832-839. doi: http://dx.doi.org/10.1017/S0022215107006123
10. Rayneau P, Aussedat C, Trinh TT, Bobillier C, Lescanne E, Robier A, et al. Influence of surgical technique on residual cholesteatoma location and prevalence. Eur Ann Otorhinolaryngol Head Neck Dis. 2020 Jan;137(1):13-16. doi: http://dx.doi.org/10.1016/j.anorl.2019.09.011
11. Greben NI. Comparative analysis of different types of surgical interventions in chronic purulent epitympanointral otitis media. Otorinolaringologija Vostoch Evropa. 2016;6(4):568-578. (In Russ.)
12. Saydulaev V, Mukhtarov K, Shpotin V, Kharitonov D, Mukhamedov I. Clinical and tomographic evaluation of the results of sanitizing middle ear surgeries in patients with epitympanitis. Vrach. 2015;(11):42-45. (In Russ.)
13. Eremeeva KV, Kulakova AS, Lopatin AS. Features of sanitizing middle ear reoperations. Vestn Otorinolaringologii. 2009;(4):45-47. (In Russ.)
14. Kosyakov S, Pchelenok E. The current standard treatment of chronic otitic media with cholesteatoma. Scripta Sci Med. 2015;47(4):37-41. doi: http://dx.doi.org/10.14748/ssm.v47i4.1432
15. Stankovic M. Follow-up of cholesteatoma surgery: open versus closed tympanoplasty. ORL J Otorhinolaryngol Relat Spec. 2007;69(5):299-305. doi: http://dx.doi.org/10.1159/000105482
16. Gantz BJ, Wilkinson EP, Hansen MR. Canal wall reconstruction tympanomastoidectomy with mastoid obliteration. Laryngoscope. 2005 Oct;115(10):1734-1740. doi: http://dx.doi.org/10.1097/01.MLG.0000187572.99335.cc
17. Lomas R, Chandrasekar A, Board TN. Bone allograft in the UK: perceptions and realities. Hip Int. 2013 Sep-Oct;23(5):427-433. doi: http://dx.doi.org/10.5301/hipint.5000018
18. Sitnikov VP, El-Refay Khusam, Yadchenko ES. Evolution of views on reconstructive ear surgery for chronic suppurative middle otitis media (literature review). Problemy Zdorov'ja Jekologii. 2011;(2):32-38. (In Russ.). doi: http://dx.doi.org/10.51523/2708-6011.2011-8-2-6
19. Sounders JE, Shoemaker DL, McElveen JT. Reconstruction of the radical mastoid. Am J Otol. 1992 Sep;13(5):465-469.
20. Saydulaev VA, Yunusov AS, Mukhamedov IT. Mastoidoplasty in repeated ear sanitizing surgeries. Vestn Otorinolaringologii. 2016;81(1):40-43. (In Russ.). doi: http://dx.doi.org/10.17116/otorino201681140-43
21. Khorov OG, Melanin VD, Aleshchik ICh. Application of allogeneic cartilage tissue in middle ear reconstruction. V: Aktual'nye voprosy implantologii v travmatologii i ortopedii: Mezhdunar nauch konf, Grodno, 26-27 okt. 2000 g. Grodno, RB; 2000. Р. 74-77. (In Russ.)
22. Kryukov AI, Garov EV, Sidorina NG, Fedorova OV, Golubovskiy OA, Dzhanashiya NT. Sanitizing surgery for chronic suppurative middle otitis media with cholesteatoma. Vestn Otorinolaringologii. 2011;(1):62-65. (In Russ.)
23. Canal wall reconstruction and mastoid obliteration in canal wall down tympanomastoidectomized patients / Lee W-S, Kim SH, Moon IS, Byeon HK. Acta Otolaryngol. 2009 Sep;129(9):955-961. doi: http://dx.doi.org/10.1080/00016480802510178
24. Timoshenko PA, Petrova LG, Khorov OG, Likhachev SA, Butsel ACh, Makarina-Kibak LE, i dr. Otorhinolaryngology in Belarus - History and Modernity. Vestn Otorinolaringologii. 2013;(1):4-9. (In Russ.)
25. Melanin VD, Khorov OG. Principles of treatment of uncomplicated forms of epi- and mesotympanitis. Vestn Otorinolaringologii. 1999;(4):8-10. (In Russ.)
26. Makarina-Kibak LE, Greben NI, Eremenko YuE. Mastoidoplasty technique after open middle ear surgery. Otorinolaringologija Vostoch Evropa. 2015;(3):52-57. (In Russ.)
27. Yung MW. Literature review of alloplastic for materials in ossiculoplasty. J Laryngol Otol. 2003 Jun;117(6):431-436. doi: http://dx.doi.org/10.1258/002221503321892244
28. Styazhkin DD, Dvoryanchikov VV, Syroezhkin FA, Korovin PA. Topical issues of mastoidoplasty in reconstructive operations on the middle ear. Ros Otorinolaringologija. 2019;18(5):82-88. (In Russ.)
29. Illés K, Meznerics FA, Dembrovszky F, Fehérvári P, Bánvölgyi A, Csupor D, et al. Mastoid Obliteration Decreases the Recurrent and Residual Disease: Systematic Review and Meta-analysis. Laryngoscope. 2023 Jun;133(6):1297-1305. doi: http://dx.doi.org/10.1002/lary.30413
30. Kirilova IA, Sadovoy MA, Podorozhnaya VT. Comparative characterization of bone grafting materials: composition and properties. Hirurgija Pozvonochnika. 2012;(3):72-83. (In Russ.). doi: http://dx.doi.org/10.14531/ss2012.3.72-83
31. Nikolaev MP, Puryasev AS. Biocomposite materials for mastoidoplasty of the postoperative cavity in chronic destructive middle otitis media. Ros Otorinolaringologija. 2006;(2):63-65. (In Russ.)
32. Korzh NA, Radchenko VA, Kladchenko LA, Malyshkina SV. Implant materials and osteogenesis. The role of induction and conduction in osteogenesis. Ortopedija Travmatologija Protezirovanie. 2003;(2):150-157. (In Russ.)
33. Semenov FV, Leonov GK. The use of retinoids to stimulate the regenerative process in the trepanation cavity after "open" middle ear sanitizing surgery. Vestn Otorinolaringologii. 2020;85(3):28-31. (In Russ.)
34. Yukacheva AA, Dubinets ID. Evolution of reconstructive-sanitizing surgical interventions in chronic suppurative middle otitis media. Ros Otorinolaringologija. 2019;18(2):77-84. (In Russ.) doi: http://dx.doi.org/10.18692/1810-4800-2019-2-77-84
35. Anikin IA, Bokuchava TA. On the surgical treatment of patients with acquired cholesteatoma. Ros Otorinolaringologija. 2015;(4):16-23. (In Russ.)
36. Kaur N, Sharma DK, Singh J. Comparative evaluation of mastoid cavity vascularised temporalis myofascial flap and deep temporal fascial periosteal flap in down. J Clin Diagn Res. 2016 Dec;10(12):MC08-MC11. doi: http://dx.doi.org/10.7860/JCDR/2016/21490.9121
37. Dzhabbarov KD, Khushbakov ACh. Mastoidoplasty - one of the stages of medical rehabilitation of patients with chronic purulent otitis media. Vestn Otorinolaringologii. 2010;(2):36-38. (In Russ.)
38. Chhapola S, Matta I. Mastoid obliteration versus open cavity: a comparative study. Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):207-213. doi: http://dx.doi.org/10.1007/s12070-011-0429-x
39. Detsch R, Boccaccini AR. The role of osteoclasts in bone tissue engineering. J Tissue Eng Regen Med. 2015 Oct;9(10):1133-1149. doi: http://dx.doi.org/10.1002/term.1851
40. Bacciu A, Pasanisi E, Vincenti V, Di Lella F, Bacciu S. Reconstruction of outer attic wall defects using bone pate: Long-term clinical and histological evaluation. Eur Arch Otorhinolaryngol. 2006 Nov;263(11):983-987. doi: http://dx.doi.org/10.1007/s00405-006-0098-7
41. Varosyan EG. Reconstructive surgery for chronic suppurative middle otitis media using different plastic materials. Ros Otorinolaringologija. 2014;(1):24-29. (In Russ.)
42. Somers T, Schatteman I, Offeciers FE. Allograft tympanoplasty. Acta Otorhinolaryngol Belg. 2004;58(2):87-96.
43. Mukhtarov KM, Saydulaev VA, Gritsenko OB. Preparation of the mastoid cavity for mastoidoplasty. Otorinolaringologiya Vostoch Evropa. 2015;(3 Прил):170-171.(In Russ.)
44. Tarasova OYu, Kosyakov SYa, Pchelenok EV. Functional outcomes of middle ear cholesteatoma surgery (literature review). Zhurn Otorinolaringologii Respirator Patologii. 2023;29(2): 4-16. (In Russ.)
45. Sitnikov VP, El-Refay Khusam. Mastoidoplasty with allochondral plate after ear sanitizing surgery. Med Novosti. 2015;(10):70-72. (In Russ.)
46. Kosyakov SYa, Pchelenok EV. Results of surgical obliteration of paratympanal spaces in patients with cholesteatoma. Vestn Otorinolaringologii. 2018;83(6):22-26. (In Russ.)
47. Sitnikov VP, Anikin IA, Astashchenko SV, Chernushevich II. Application of ultrathin allochondral plates in tympanoplasty: an improved medical technology. St. Petersburg, RF; 2006. 18 р. (In Russ.)
48. De Foer B, Vercruysse J-P, Bernaerts A, Deckers F, Pouillon M, Somers T, et al. Detection of postoperative residual cholesteatoma with Non-echo-planar-diffusion-weighted magnetic Resonance Imaging. Otol Neurotol. 2008 Jun;29(4):513-517. doi: http://dx.doi.org/10.1097/MAO.0b013e31816c7c3b
49. Shokry S, Hossieni AS, Zidan MF, Hafez AA, Abdulsalam HM. Avoiding mastoid cavity problems: Mastoid obliteration using bio-active glass. Egypt J Hosp Med. 2012 Apr;47:321-333.
50. Rusetskiy YuYu, Chernova OV, Meytel IYu, Sotnikova LS, Farikov SE, Yakushenkova AP. Obliteration of middle ear cavities in children: current status of the problem and our first experience. Vestn Otorinolaringologii. 2021;86(2):21-27. (In Russ.)
Submitted 18.06.2024
Accepted 04.12.2024
Information about authors:
I.I. Gornostay – Candidate of Medical Sciences, associate professor, head of the Inpatient Department of Otorhinolaryngology for Adult Patients, Republican Scientific and Practical Center of Otorhinolaryngology;
N.I. Hreben – Candidate of Medical Sciences, associate professor, head of Republican Scientific and Practical Center of Otorhinolaryngology;
E.D. Mikhelis – research officer of the Research Department, Republican Scientific and Practical Center of Otorhinolaryngology,
e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Elena D. Mikhelis;
A.Y. Stashkevich – research officer of the Research Department, Republican Scientific and Practical Center of Otorhinolaryngology.
