TABLE 2.
Surgical management and its outcome
Case No. | Op No. | Op Name | Approach | Reconstruction Material | Symptom Recurrence | Time till Recurrence | Interval Between Operations | f/u Period After Last Operation |
---|---|---|---|---|---|---|---|---|
1 | First | EAC anterior wall repair | Endaural | Homograft Temporalis muscle fascia | Yes/Otorrhea | 1.5 mo | 2 mo | 53 mo |
Second | Posterior canalplasty | Postauricular | Conchal cartilage- | No | — | |||
2 | First | EAC anterior wall repair | Preauricular | Porous polyethylene implant-titanium mesh complex | Yes/Persistent clicking sound upon mastication | 4 mo | 8 mo | 34 mo |
Second | EAC anterior wall repair, revision | Preauricular | Titanium mesh | No | — | |||
3 | First | EAC anterior wall repair | Preauricular | Titanium mesh | No | — | — | 20 mo |
4 | First | EAC anterior wall repair | Endaural | None | Yes/Recurred EF | 2 mo | 2.5 mo | 77 mo |
Second | Posterior canalplasty | Postauricular | Conchal cartilage | No | — | |||
5 | First | EAC anterior wall repair | Preauricular | Porous polyethylene implant—titanium mesh complex | Yes/Persistent otalgia | 1 mo | 1.5 mo | 53 mo |
Second | EAC anterior wall repair, revision | Preauricular | Titanium mesh | Yes/Ear swelling, otorrhea | 3 mo | 4 mo | ||
Third | Canal wall-down mastoidectomy, FB removal | Postauricular | — | No | — | |||
6 | First | EAC anterior wall repair | Preauricular | Titanium mesh | No | — | — | 45 mo |
7 | First | EAC anterior wall repair | Preauricular | Titanium mesh | No | — | — | 24 mo |
8 | First | EAC lesion biopsy (outside hospital) | Transcanal | — | Yes/Otorrhea, otalgia | No improvement | 6 mo | 10 mo |
Second | Subtotal petrosectomy | Postauricular | — | No | — | |||
9 | First | EAC anterior wall repair | Preauricular | Titanium mesh | No | — | — | 10 mo |
10 | First | EAC anterior wall repair (outside hospital) | Preauricular | Titanium mesh | Yes/Recurred otalgia, EF | 3 mo | 8 mo | 8 mo |
Second | EAC anterior wall repair, revision | Preauricular | Titanium mesh | No | — |
EAC indicates external auditory canal; FB, foreign body.