Facial Canal Dehiscence in Patients with Chronic Otitis Surgery


Uluat A., Bayir O., Sancaktar M. E. , Ozdek A., Tatar E. C. , Saylam G., ...Daha Fazla

JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, cilt.6, ss.779-782, 2015 (ESCI İndekslerine Giren Dergi) identifier

  • Cilt numarası: 6
  • Basım Tarihi: 2015
  • Doi Numarası: 10.4328/jcam.3646
  • Dergi Adı: JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE
  • Sayfa Sayıları: ss.779-782

Özet

Aim: To examine facial canal status in patients with chronic otitis media (COM) surgery and to detect the relation between facial canals dehiscence (FCC) with middle ear pathology in these patients. Material and Method: The surgery data of patients who were subjected to tympanoplasty with or without mastoidectomy and radical mastoidectomy due to COM were analyzed retrospectively from January 2006 to December 2012. In addition to demonstrative data of the patients, status of facial canal and preoperative diagnoses of patients, type of the operation performed, status of middle ear, number of surgeries, existence of cholesteatoma, existence of ossicular chain defect, lateral canal defect and dura defect were assessed and the relation thereof with facial canal dehiscence (FCC) was analyzed statistically. Results: Seven hundred ninety six patients were included in the study, FCD was detected in 10.05% of the patients. FCD was most frequently observed in the tympanic segment. It was found out that there was a statistically significant relationship of middle ear pathology, cholesteatoma. revision surgery. lateral semicircular canal and ossicular chain defect with FCD. Discussion: COM diagnosed patients may have defect in facial canal according to their preoperative diagnoses, middle ear pathologies, number of operations and ossicular chain defects. These patients should be applied a more careful surgery and closely followed up in postoperative periods.