

It was noted that majority of patients were in age group 11 to 20, i.e. The parameters for study included pain, discharge, granule extrusion, dizziness, epithelization rate, debris and other complications. The patients were followed up in the OPD on 15 th, 30 th, 45 th, 60 th, 90 th, 180 th day and then 6 months and 1 year post operatively. Final packing with ointment-impregnated gauze was done.Īll the patients were put on I/V, antibiotics, decongestants and painkillers in the post operative follow up for 10 days after which the pack was removed. The inferiorly based periosteal flap was then rotated into the mastoid cavity to cover the granules and over it dry temporalis fascia was inserted to line the eardrum. Porous hydroxyapatite granules obtained by crushing commercially available hydroxyapatite blocks (0.5 > 1 cm) were dipped in antibiotic solution (Co-amoxyclav) for 10 minutes and then filled into the cavity completely and covering the lateral semi-circular canal. An inferiorly based periosteal flap was then devised near the tip of mastoid process.


#Mail of obliteration trial#
A randomized trial of 25 patients of either sex less than 60 years of age having atticoantral type of disease without any history of intracranial complication were included in the study.Īll the patients underwent initially modified radical mastoidectomy under general anaesthesia.
