A Study of Canal Wall down Mastoidectomy with Soft-wall Reconstruction

  • C Ravikumar Professor, Department of Otorhinolaryngology
  • K Priyatharisini Assistant Surgeon, Department of ENT
  • M Senthil Kanitha Associate Professor, Department of Otorhinolaryngology
  • D Rajkamal Pandian Senior Assistant Professor, Department of Otorhinolaryngology
  • Heber Anandan Senior Clinical Scientist, Department of Clinical Research
Keywords: Canal wall down mastoidectomy, Cholesteatoma, CSOM, Soft-wall reconstruction


Introduction: CSOM is a common clinical disease seen in an outpatient setting which causes social disability due to accompanying hearing loss. Treatment may be medical or surgical but aims to limit the disease and improve hearing loss.
Aim: Aim of this study is to evaluate the outcome of canal wall down (CWD) mastoidectomy with soft-wall reconstruction using cartilage in an unsafe ear.
Method: Prospective study conducted in 38 patients who had the atticoantral disease (cholesteatoma and granulations in attic). Clinical examination, pure tone audiogram was done before and after surgery.
Results: Of 38 patients 84% had significant hearing improvement following surgery. After surgery, 79% showed well-healed ear with 10% showing no significant hearing outcome. 8% had ear discharge after surgery while 2% showed recurrence.
Conclusion: Early identification of cholesteatoma and intervention with soft-wall reconstruction lead to auditory and cosmetic improvement.

Author Biographies

C Ravikumar, Professor, Department of Otorhinolaryngology

Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu, India

K Priyatharisini, Assistant Surgeon, Department of ENT

Kovilpatti Headquarters Hospital, Kovilpatti, Tamil Nadu, India

M Senthil Kanitha, Associate Professor, Department of Otorhinolaryngology

Thoothukudi Medical College Hospital, Thoothukudi, Tamil Nadu, India

D Rajkamal Pandian, Senior Assistant Professor, Department of Otorhinolaryngology

Tirunelveli, Medical College Hospital, Tirunelveli, Tamil Nadu, India

Heber Anandan, Senior Clinical Scientist, Department of Clinical Research

Dr. Agarwal’s Healthcare Limited, Tirunelveli, Tamil Nadu, India


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