Tympanomastoidectomy with modified Bondy procedure on young patient with cholesteatoma and dangerous type of chronic suppurative otitis media (CSOM)

I Made Nudi Arthana * and Eka Putra Setiawan

Department of Otorhinolaryngology, Medical Faculty of Udayana University, Denpasar, Indonesia.
 
Case Study
GSC Biological and Pharmaceutical Sciences, 2023, 24(03), 214–217.
Article DOI: 10.30574/gscbps.2023.24.3.0344
Publication history: 
Received on 14 July 2023; revised on 21 August 2023; accepted on 24 August 2023
 
Abstract: 
Tympanomastoidectomy is tympanoplasty with mastoidectomy. Modified with Bondy procedure of mastoidectomy is a type of canal wall down mastoidectomy which is rarely used about 5.8% patients of all mastoidectomy and pediatric cholesteatoma patients underwent modified with Bondy procedure. The purpose of the modified with Bondy procedure is for young patients, to maintain or improve hearing during surgery or next operations and to facilitate better wound care after surgery. A cholesteatoma is a lesion of the ear, formed of a mass of stratified keratinizing squamous epithelium. Cholesteatoma in the pediatric generally to be more aggressive than cholesteatoma occurring in the adult population. Cholesteatoma is usually followed by Chronic suppurative otitis media (CSOM) and results in hearing loss.
It has been reported that a 15-year-old female patient with right dangerous type of CSOM and cholesteatoma underwent tympanomastoidectomy with Modified Bondy. Right dangerous type of CSOM and cholesteatoma can be diagnosed based on anamnesis, physical examination, and supporting examinations consisting of a CT scan and histopathology. The result of Modified tympanomastoidectomy with Bondy procedure on this patient was good.
 
Keywords: 
CSOM; Tympanomastoidectomy; Bondy; Cholesteatoma
 
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