Postoperative Outcome of Elective Mastoid Surgery: Pediatric versus Adult Patients

Abstract

Annals of Otology and Neurotology ISO Vol. 02 Suppl. S1/2019 years). The median follow-up was 5.3 months (range, 3–12 months). The chorda tympani nerve was sacrificed in 8.4% cases. Postoperative disequilibrium was detected in 7.0% cases and 100% resolution at first follow-up. The median air-bone gap (ABG) improved from 30.3 dB preoperatively to 9.35 dB postoperatively at last follow-up (p < 0.0001). The ABG closed to less than 15 dB in 89.3% of patients and less than 10 dB in 79%. There were no instances of postoperative sensorineural hearing loss (defined as > 15 dB change from baseline) or facial nerve injury. Postoperatively, 29.6% of patients reported dysgeusia, of which 8.3% were persistent at last follow-up. Conclusion Endoscopic stapedotomy is an effective technique to manage stapes fixation resulting in a median postoperative ABG of 9.35 dB and ABG closure to within 10 dB in 79% of patients. Autologous lobular fat can be effectively used in controlling the disequilibrium in the immediate postoperative period.