Multilateral scrutiny of the Gülhane mastoidectomy |
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Authors: | Mustafa Kahramanyol Davut Aktaş Cevat Uçar Sertaç Yetişer |
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Affiliation: | 1.Ankara,Turkey;2.ENT Department,Demet Hospital,Ankara,Turkey;3.Department of Otorhinolaryngology,Fatih University,Ankara,Turkey;4.ENT Department,Türkiye Hospital,Istanbul,Turkey;5.Department of Otorhinolaryngology,Gülhane Military Medical Academy,Ankara,Turkey |
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Abstract: | This study has been conducted in order to analyze the outcomes of a previously described technique for chronic otitis media surgery: the improved radical mastoidectomy with flap (formerly IRMF), which consisted of improved radical mastoidectomy (formerly IRM), inferiorly based fascioperiosteal flap and large meatoconchoplasty (Kahramanyol, Ear Nose Throat J 71:70–77, 1992; Kahramanyol et al., Ear Nose Throat J 79:524–526, 2000). The technique is hereafter referred as the Gülhane mastoidectomy. During a period of 22 consecutive years, 255 patients have been operated on and treated utilizing the technique mentioned above. Despite extensive otologic destruction and concomitant severe complications, the technique rendered impressive outcomes: the cavities became smaller over time and remained healthy, providing good life quality for the patients. Cholesteatoma recurrence was observed in but one patient. The outcomes confirm the value and usefulness of the technique. |
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Keywords: | Chronic otitis media Radical mastoidectomy Saucerization Meatoconchoplasty Gülhane mastoidectomy |
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