Angeles University Foundation Angeles City, Pampanga

Bioactive Glass S53P4 in the Filling of Cavities in the Mastoid Cell Area in Surgery for Chronic Otitis Media

Submitted by: Joazelle Lorene Mercado Group 19

Submitted to: Joan Russell D. Feliciano RN MN

Summary:

After the removal of the mastoid air cells behind the ear in treating chronic infection of the middle ear and cholesteatoma with the canal wall down teachnique, a cavity remains that is sometimes difticult to clean, collects crust, and becomes repeatedly infected. Such problematic mastoid cavities can be eliminated by filling the created cavity surgically after thorough removal of mucous membranes and cleaning of the bone. One kind of grafting alternatives or cortical bone known as Bioactive Glass S53P4 has been developed, and this study aimed to treat patients with cavities after canal wall-down tympanomastoidectomy for suppurative otitis media or cholesteatoma surgery by using a biomaterial to fill the difficult-toclean radical cavity in the mastoid cell area to avoid further retraction formation. 7 patients with cavities after canal wall-down surgery for the treatment of chronic suppurative otitis media or cholesteatoma by filling the difficult-to-clean cavity in the mastoid ceil area with granules of bioactive glass (BAG) S53P4 to avoid further retraction formation were treated. And they carefully closed the area with BAG with the use of a musculoperiosteal flap. After the canal wall-down tympanomastoidectomy, the mastoid cavities were successfully filled in all 7 patienis. No biomaterial-associated infection was seen, and no disadvantages for the patients due to the BAG were observed. The cavity in the mastoid cell area decreased in size in all patients treated. The success of the operations was partly due to use of a large periosteal tlap and temporalis fascia. Good tissue compatibility and low susceptibility to infection are advantages of BAG that might ensure a long-lasting therapeutic solution. Graft. Lyoplant can also be used if needed to prevent extrusion of the granules. This BAG has been concluded to be a promising material for filling mastoid cavities after canal wall-down tympanomastoidectomy.

Reaction: As Ive learned the aim and result of the study, I realized its importance and purpose for further development in the field of surgery. Since its aim has dealt with decreasing the bad effects of tympanomastoidectomy and no disadvantages has been proven from the study, I think it would be good to follow such steps for improvement. BAG is a great innovation for the world of surgery, it may lessen the risk for worse conditions and as part of the health care team, I consider it to be of big help in the maintenance of our patients health. I am really thankful that we have researchers who have gotten out of the impossible and discovered such innovations and Id like to have this opportunity to thank them for their great contributions in the field of medicine. As the study concluded, BAG is really a promising material for filling mastoid cavities after canal wall-down tympanomastoidectomy. For its Good tissue compatibility and low susceptibility to infection, recommendation and further enhancement of is worth the effort.

Recommendation:

For the hospital and surgeons, to be more open to innovations

and go for better alternatives that may not give or lessen the complications esp. infection to the patients like the BAG S53P4. For student nurses, to learn and explore more about advancing things for greater knowledge and to make the clients aware, in line with the promotion of health, prevention of illness and delivery of quality care to our patients, especially to the surgical patient. For the public, that they may be more aware and conscious about the current trends and for knowledgeable purposes.

 For the researchers, to be inspired with continuing the power

of research in enhancing our lives and discovering things beyond our knowledge by not staying within good things and always reaching for better ways.