Reconstruction of Middle Ear in Radical Mastoidectomy

A statistical analysis was performed on 61 patients who underwent radical mastoidectomy at our clinic between May,1977 and March,1990.Epipharynx was intact in 45 patients. Nose and paranasal sinuses were intact in 43 patients. Tympanic tubal orifice was closed in 17 ears, but only 4 dry ears were obtained the others being inflammatory and/or recurrent cholesteatoma. The tympanic tubal orifice need not be surgically closed. The middle ear was reconstructed in 12 ears and all of them showed dry ears.The middle ear was not reconstructed but the tympanic tubal orifice was closed in 17 ears,4 of which showed dry ears. The middle ear was not reconstructed, but tympanic tubal orifice was closed in 32 ears,19 of which showed dry ears. The middle ear cleft should be reconstructed when there is buried mucosa which leads to cystic formation and results in recurrent inflammatory ears.Recon truction of the middle ear is recommended even in radical mastoidectomy.