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Is There Utility in Using Mastoid Pressure Dressing in Children Undergoing a Mastoidectomy?
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  • Shadi Shinnawi,
  • Arie Gordin,
  • Iyad Zaroura,
  • Bahaa Rafoul,
  • Majd Khoury,
  • Mauricio Cohen-Vaizer
Shadi Shinnawi
Rambam Health Care Campus

Corresponding Author:[email protected]

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Arie Gordin
Rambam Health Care Campus
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Iyad Zaroura
Rambam Health Care Campus
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Bahaa Rafoul
Rambam Health Care Campus
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Majd Khoury
Rambam Health Care Campus
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Mauricio Cohen-Vaizer
Rambam Health Care Campus
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Abstract

Objectives: To assess the efficacy of avoiding mastoid pressure dressing (MPD) on children as a means of preventing discomfort and postoperative pain. Design: A retrospective controlled study. Setting: All operations were carried out by experienced surgeons using standard techniques, whose custom, not the gravity of any individual case, dictated the use of MPD. Participants: children who underwent mastoidectomy for inflammatory middle ear diseases at a tertiary centre from 2010-2020. Main outcome measures: Wound-related complications and visual analog scale (VAS) pain scores at discharge were compared between children who had a MPD applied following surgery and those who did not. Results: 119 cases were included. The demographic characteristics of the patients and surgical techniques employed similar for both groups. There were 91 patients in the MPD group and 28 in the non-mastoid dressing (NMPD) group. In the MPD group, 5 patients developed minor wound dehiscence, 8 experienced surgical site infections (SSI), and one patient developed a keloid. In the NMPD group, one patient had a SSI, while another had a local hematoma. Therefore, there were no differences between the groups in relation to postoperative complications (p = 0.47). Despite these similitudes, the NMPD patients suffered less postoperative pain, as measured by the VAS (p =.02). Conclusions: This study shows that no significant benefit is derived from using a MPD after mastoidectomy in children. Surgeons should adhere to principles of appropriate haemostasis and wound closure to prevent postoperative wound complications. Our study supports the abandonment of routine MPD on children following mastoidectomy.
24 Jul 2021Submitted to Clinical Otolaryngology
02 Aug 2021Submission Checks Completed
02 Aug 2021Assigned to Editor
29 Aug 2021Review(s) Completed, Editorial Evaluation Pending
26 Sep 20211st Revision Received
28 Sep 2021Submission Checks Completed
28 Sep 2021Assigned to Editor
04 Oct 2021Reviewer(s) Assigned
22 Oct 2021Review(s) Completed, Editorial Evaluation Pending
25 Oct 2021Editorial Decision: Revise Major
10 Feb 20222nd Revision Received
11 Feb 2022Submission Checks Completed
11 Feb 2022Assigned to Editor
11 Mar 2022Review(s) Completed, Editorial Evaluation Pending
20 Mar 2022Editorial Decision: Revise Minor
25 Mar 20223rd Revision Received
06 Apr 2022Submission Checks Completed
06 Apr 2022Assigned to Editor
09 Apr 2022Review(s) Completed, Editorial Evaluation Pending
10 Apr 2022Editorial Decision: Revise Minor
14 Apr 20224th Revision Received
29 Apr 2022Submission Checks Completed
29 Apr 2022Assigned to Editor
30 Apr 2022Review(s) Completed, Editorial Evaluation Pending
01 May 2022Editorial Decision: Accept