Cortical mastoidectomy in surgery of XXXX . Are we overdoing it?

@entity1 @entity66 @entity33 @entity281 @entity2346
BACKGROUND AND PURPOSE OF THE STUDY: the role of cortical mastoidectomy in the surgical treatment of @entity2346 media has remained controversial especially when there is no evidence of @entity281 . Though literature is replete with studies for and against the requirement of mastoidectomy, there is a paucity of prospective studies in this regard. A randomized controlled trial was conducted to assess the impact of mastoidectomy in the management of @entity33 media. METHODS: 62 @entity1 with uncomplicated @entity33 media were randomly allotted to two groups of 31 each. @entity1 in group A underwent tympanoplasty with mastoidectomy and group B underwent tympanoplasty without mastoidectomy. All the @entity1 were followed up for a minimum of three months and results were assessed in terms of graft uptake, hearing improvement and need for repeat procedure. RESULTS: no significant difference in outcome was observed between the two groups in all parameters compared. The residual air-bone gap was 12.55    12.98 in group A and 12.71    11.54 in group B. Graft uptake rate was 93.55% in group A and 96.775% in group B. 2 @entity1 in group A and one @entity1 in group B underwent repeat procedures. CONCLUSIONS: there is little evidence in favour of cortical mastoidectomy in surgery of @entity66 .
