{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:40:33Z","timestamp":1761896433517},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2017,1,10]],"date-time":"2017-01-10T00:00:00Z","timestamp":1484006400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S002221511600997X_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>This study aimed to evaluate the results of revision radical cavity surgery with mastoid obliteration using a standardised grading scheme.<\/jats:p><\/jats:sec><jats:sec id=\"S002221511600997X_sec_a2\"><jats:title>Methods:<\/jats:title><jats:p>A retrospective study was performed of 121 patients (122 ears) with chronically draining ears who underwent revision radical cavity surgery with mastoid obliteration between 2007 and 2013. Surgical indications, patient characteristics, pre- and post-operative Merchant grade, and surgical outcomes were recorded. The main outcome measures were presence of a dry ear, time for complete re-epithelialisation, presence of residual or recurrent disease, and need for revision surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S002221511600997X_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>In the 5-year follow-up group (<jats:italic>n<\/jats:italic> = 31), dry ears were found in 97 per cent after 6 minor revisions and cholesteatoma-free ears were found in 97 per cent. In the total cohort, dry ears were found in 93 per cent after nine revisions and cholesteatoma-free ears were found in 98 per cent. The median time for complete re-epithelialisation was eight weeks. There were no major complications.<\/jats:p><\/jats:sec><jats:sec id=\"S002221511600997X_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>In terms of the dry ear rate, residual cholesteatoma and time to complete epithelialisation, revision radical cavity surgery with mastoid obliteration produces very good results in concordance with published results, despite most patients suffering from very troublesome cavities prior to surgery.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s002221511600997x","type":"journal-article","created":{"date-parts":[[2017,1,10]],"date-time":"2017-01-10T09:59:05Z","timestamp":1484042345000},"page":"138-143","source":"Crossref","is-referenced-by-count":18,"title":["Successful obliteration of troublesome and chronically draining cavities"],"prefix":"10.1017","volume":"131","author":[{"given":"S","family":"Geerse","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F A","family":"Ebbens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M J F","family":"de Wolf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"van Spronsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,1,10]]},"reference":[{"key":"S002221511600997X_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S175514630017828X"},{"key":"S002221511600997X_ref23","doi-asserted-by":"publisher","DOI":"10.1080\/00016480802140893"},{"key":"S002221511600997X_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2013.03.011"},{"key":"S002221511600997X_ref15","first-page":"169","article-title":"A technique for the reconstruction of the posterior canal wall and mastoid obliteration in radical cavity surgery","volume":"11","author":"Hartwein","year":"1990","journal-title":"Am J Otolaryngol"},{"key":"S002221511600997X_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199603000-00024"},{"key":"S002221511600997X_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000430"},{"key":"S002221511600997X_ref1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2012.1800"},{"key":"S002221511600997X_ref24","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25474"},{"key":"S002221511600997X_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200103000-00006"},{"key":"S002221511600997X_ref19","first-page":"77","article-title":"Periosteal flap grafts in mastoid operations","volume":"17","author":"Popper","year":"1935","journal-title":"S Afr Med J"},{"key":"S002221511600997X_ref18","first-page":"91","article-title":"Mastoidectomy reconstruction: revascularizing the canal wall repair","volume":"15","author":"Black","year":"1994","journal-title":"Am J Otol"},{"key":"S002221511600997X_ref16","first-page":"465","article-title":"Reconstruction of the radical mastoid","volume":"13","author":"Saunders","year":"1992","journal-title":"Am J Otolaryngol"},{"key":"S002221511600997X_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100106437"},{"key":"S002221511600997X_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199707000-00007"},{"key":"S002221511600997X_ref22","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200401000-00004"},{"key":"S002221511600997X_ref13","first-page":"286","article-title":"Closed versus obliteration technique in cholesteatoma surgery","volume":"9","author":"Charachon","year":"1988","journal-title":"Am J Otolaryngol"},{"key":"S002221511600997X_ref4","first-page":"455","article-title":"Use of mastoid obliteration techniques in cholesteatoma","volume":"21","author":"Yung","year":"2013","journal-title":"Otolaryngol Head Neck Surg"},{"key":"S002221511600997X_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-9-48"},{"key":"S002221511600997X_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/000348941212100305"},{"key":"S002221511600997X_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.02.034"},{"key":"S002221511600997X_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.24"},{"key":"S002221511600997X_ref17","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1979.00790190003001"},{"key":"S002221511600997X_ref20","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200405000-00033"},{"key":"S002221511600997X_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.09.014"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S002221511600997X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,18]],"date-time":"2019-04-18T03:52:54Z","timestamp":1555559574000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S002221511600997X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,10]]},"references-count":24,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["S002221511600997X"],"URL":"https:\/\/doi.org\/10.1017\/s002221511600997x","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,10]]}}}