Assessment of results of conchomeatoplasty using subjective and objective parameters in canal wall down mastoidectomy.

Introduction: Conchomeatoplasty is an important step of canal wall down mastoidectomy performed to promote dry, self-cleaning ear. Various techniques of conchomeatoplasty have been described and each have documented good results. However, a consistent and reliable method of assessing the outcome has not been explored. This study focuses on assessing the results of radial incision technique of conchomeatoplasty advocated by us using both subjective and objective parameters. Materials and Methods: A prospective observational study was designed to assess ۵۵ patients of canal wall down mastoidectomy with conchomeatoplasty . Patients were evaluated for ear canal size at ۳ and ۶ months post-operatively . Modified chronic ear survey questionnaire where patient 's activity restriction, symptoms and medical resource utilization subscale were noted for subjective outcome. Objective evaluation analysed otoscopic visibility of superior limit, floor of mastoid bowl and sino-dural angle. Results: Mean size of external auditory meatus at ۳ and ۶ months were ۹.۸۶۱ mm and ۱۰.۱۴۵ mm respectively. At ۶ months follow up , there was significant association between visibility of landmarks and size of external auditory canal as well as with the necessity of water restriction. However there was no association of size of ear canal with interference with social activity, frequency or quantity of ear discharge and frequency of physician’s visit. Conclusion: Using subjective and objective parameters facilitates a consistent and measurable assessment of the outcome of conchomeatoplasty rather than considering the size of meatoplasty alone. The radial incision technique advocated in the present study gives good postoperative results.

کلیدواژه ها:

radial incision conchomeatoplasty ، modified chronic ear survey questionnaire ، Chronic otitis media ، mastoid bowl ، Patient Satisfaction ، activity restriction