Open AccessMastoid Dressing in Ear Surgery: Is it Still Relevant?
Author(s) -
Rahul Naga,
Tejpal Singh Bedi,
Renu Rajguru,
Inderdeep Singh,
Saurabh Mahajan
Publication year - 2021
Publication title -
bengal journal of otolaryngology and head neck surgery
Language(s) - English
Resource type - Journals
eISSN - 2395-2407
pISSN - 2395-2393
DOI - 10.47210/bjohns.2021.v29i2.477
Subject(s) - medicine , tympanoplasty , surgery , mastoidectomy , otologic surgical procedures , cholesteatoma , dehiscence , wound dehiscence , seroma , middle ear , complication
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.ConclusionWe conclude that smaller dressing is more favourable than the bulkier conventional mastoid dressings.