Mastoid Dressing in Ear Surgery: Is it Still Relevant?

Main Article Content

Rahul Naga
Tejpal Singh Bedi
Renu Rajguru
Inderdeep Singh
Saurabh Mahajan

Abstract

Introduction  


Mastoid dressings are conventionally used in patients who undergo Tympanoplasty using post auricular approach. The rationale behind using a mastoid dressing is that the said dressing prevents haematoma formation and acts as a protective covering during the post-operative period. This study aims to understand the significance of mastoid dressing in patients undergoing Cortical Mastoidectomy and Tympanoplasty and its role in preventing post-operative wound complications and patient comfort.


Materials and Methods  


A total of 77 patients were enrolled in the study over a one year period and were randomised into dressing and no dressing groups with the aim of deciphering any advantage of the mastoid dressing over a smaller dressing.


Results  


Our data revealed no added advantage of conventional mastoid dressing over a small gauze piece dressing in terms of haematoma/seroma formation, contusion and wound dehiscence. However, there was significantly reduced patient discomfort and sleeping difficulties post-operatively in the no dressing group.


Conclusion


We conclude that smaller dressing is more favourable than the bulkier conventional mastoid dressings.

Article Details

How to Cite
1.
Naga R, Bedi TS, Rajguru R, Singh I, Mahajan S. Mastoid Dressing in Ear Surgery: Is it Still Relevant?. BJOHNS [Internet]. 2021Sep.27 [cited 2024Apr.26];29(2):140-4. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/477
Section
Main article
Author Biographies

Rahul Naga, Dept of ENT INHS ASVINI

Associate Professor, Department of ENT, INHS Asvini, Colaba Mumbai 400005

Tejpal Singh Bedi, Dept of ENT INHS ASVINI

Resident, Department of ENT, INHS Asvini, Colaba, Mumbai - 400005

Renu Rajguru, Dept of ENT INHS ASVINI

Professor,Department of ENT, INHS ASVINI, COLABA, MUMBAI - 400005

Inderdeep Singh, Dept of ENT INHS ASVINI

Professor, Department of ENT, INHS ASVINI, COLABA, MUMBAI - 400005

Saurabh Mahajan, Dept of PSM AFMC Pune

Resident, Department of PSM, AFMC, PUNE 410040

References

Hill J, Allan W, Malhan D, Williams ED. Pressure exerted by head bandages used in otological surgery. J Laryngol Otol. 1993; 107:1110-2

Khan I, Mohamad S, Ansari S, Iyer A. Are head bandages really required after middle-ear surgery? A systematic review. J Laryngol Otol. 2015; 129(8):740-3. doi:10.1017/S0022215115001565

Luo SD, Su CY, Wu CM, Hwang CF. Mastoid pressure dressing for cochlear implantation—is it necessary? Int J Pediatr Otorhinolaryngol. 2009; 73: 857-60

O'Brien JX, Ruskin O, Price T. Pressure dressings in mastoid and middle ear surgery: are they necessary? A retrospective review of patient outcomes. ANZ Journal of Surgery. 2018; 88: 1047-50

Agrawal A, Bhargava P. Comparative Evaluation of Tympanoplasty with or Without Mastoidectomy in Treatment of Chronic Suppurative Otitis Media Tubotympanic Type. Indian J Otolaryngol Head Neck Surg. 2017; 69(2):172‐5

Aina J. Gulya, Lloyd B Minor, Dennis S Poe. Glasscock-Shambaugh Surgery of the Ear, 6th edn. USA:People's Medical Publishing House; 2003

Sarkar S. A review on the history of tympanoplasty. Indian J Otolaryngol Head Neck Surg. 2013; 65(Suppl 3):455‐60

Parida PK, Nochikattil SK, Surianarayanan G, Saxena SK, Ganesan S. A comparative study of temporalis fascia graft and vein graft in myringoplasty. Indian J Otolaryngol Head Neck Surg. 2013; 65(Suppl 3):569‐74

Rowe-Jones JM, Leighton SE. The value of head dressings for middle ear surgery. J Laryngol Otol. 1993; 107:17-9

Castelli ML, Di Lisi D, Marcato P, Tavormina P, Cappellaro E, Sartoris A. Is pressure dressing necessary after ear surgery? Ann Otol Rhinol Laryngol. 2001;110:254-6

Okur E, Kahveci OK, Miman MC, Yıldız H, et al. Ear protrusion after tympanoplasty and the use of mastoid dressing. Kulak Burun Bogaz Ihtis Derg. 2014; 24(2):74-7. doi: 10.5606/kbbihtisas.2014.94758. PMID: 24835901.