Udayabhanu H N, Singh Anup, Piccirillo Enrico, Piras Gianlucas, Mastronardi Valentina, Taibah Abdelkader, Sanna Mario
Department of Otology, Neurotology and Skull Base Surgery, Gruppo Otologico, Piacenza-Rome, Italy.
Department of ENT and Head Neck Surgery, Medanta- The Medicity, Sector-38, Gurugram, Haryana 122001 India.
Indian J Otolaryngol Head Neck Surg. 2021 Dec;73(4):403-407. doi: 10.1007/s12070-020-01793-1. Epub 2020 Feb 1.
Modified Bondy mastoidectomy is a type of canal wall down mastoidectomy well described in literature for adult patients. We present our experience with the use of modified Bondy mastoidectomy in pediatric population. Using retrospective chart review, pediatric patients, who underwent modified Bondy procedure for attic cholesteatoma between 1983 and 2015 at our quaternary referral center for otology and lateral skull base surgery, were analyzed after obtaining permission from institutional review board. The demographic data, air-bone gap before and after surgery (at a follow up of 1 month, 6 months, 2 year and 5 years), intraoperative findings and postoperative outcomes were recorded. A total of 36 (5.8%) pediatric cholesteatoma patients underwent Modified Bondy procedure. Out of these, 5-year follow up was available for 31 patients and they were included in audiological analysis. Air-bone gap was maintained at preoperative levels or improve in all the patients during follow up and there were no incidences of sensorineural hearing loss. Two patients (5.5%) were found to harbor residual cholesteatoma and two patients (6.4%) of the 31 patients who had follow up of 5 years, developed recurrent disease during follow up. Modified Bondy procedure, when done in appropriately selected patients, is a reliable, effective and reasonably safe technique for pediatric cholesteatoma.
改良邦迪乳突根治术是一种在文献中已有详尽描述的针对成年患者的开放式乳突根治术。我们在此介绍我们在儿科患者中使用改良邦迪乳突根治术的经验。通过回顾性病历审查，在获得机构审查委员会的许可后，对1983年至2015年间在我们的耳科及侧颅底手术四级转诊中心接受改良邦迪手术治疗上鼓室胆脂瘤的儿科患者进行了分析。记录了患者的人口统计学数据、手术前后的气骨导差（随访1个月、6个月、2年和5年时）、术中发现及术后结果。共有36例（5.8%）儿科胆脂瘤患者接受了改良邦迪手术。其中，31例患者有5年的随访数据，并被纳入听力分析。在随访期间，所有患者的气骨导差均维持在术前水平或有所改善，且未发生感音神经性听力损失。2例患者（5.5%）被发现有残留胆脂瘤，在31例有5年随访的患者中，2例患者（6.4%）在随访期间出现了疾病复发。对于经过适当选择的患者，改良邦迪手术是一种治疗儿科胆脂瘤可靠、有效且相对安全的技术。
