Background: Chronic suppurative otitis media (CSOM) with cholesteatoma can locally be destructive. Radical mastoidectomy is a procedure to clean and remove all cholesteatoma. However, there is a 38-60% chance of recurrence after the procedure, and the subsequent intervention is a more difficult and risky revision mastoid operation. In this study, we reported a 56-year-old woman with an unsafe type of CSOM who underwent revision radical mastoidectomy. Case Presentation: A 56-year-old woman presented with complaints of discharge accompanied by a hole in the left ear. The patient had previously undergone ear surgery about four years ago for similar complaints. Physical examination showed a full ear canal on the left with secretions, and the tympanic membrane was difficult to assess. A head CT scan result was suggestive of chronic mastoiditis with cholesteatoma. The patient was treated with revision radical mastoidectomy and had a good outcome. Conclusion: In conclusion, this case report presents a 56-year-old woman with recurrent unsafe type CSOM who underwent revision mastoidectomy and had a good outcome. Causes of surgical failure include a high facial ridge and inadequate meatoplasty.
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Swardyana et al. (2024) studied this question.
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