American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 29, Issue 5 , Pages 300-304, September 2008

Histopathologic changes in guinea pig mastoid mucosa after topical mitomycin C application followed by mastoidectomy

  • Levent Ozturk, MD

      Affiliations

    • Department of Otorhinolaryngology, Kahramanmaraş Government Hospital, Kahramanmaraş, Turkey
  • ,
  • Irfan Kaygusuz, MD

      Affiliations

    • Department of Otorhinolaryngology, Firat University Medical Faculty, Elazig, Turkey
  • ,
  • Nusret Akpolat, MD

      Affiliations

    • Department of Pathology, Firat University Medical Faculty, Elazig, Turkey
  • ,
  • Erol Keles, MD

      Affiliations

    • Department of Otorhinolaryngology, Firat University Medical Faculty, Elazig, Turkey
  • ,
  • Turgut Karlidag, MD

      Affiliations

    • Department of Otorhinolaryngology, Firat University Medical Faculty, Elazig, Turkey
  • ,
  • Hayrettin Cengiz Alpay, MD

      Affiliations

    • Department of Otorhinolaryngology, Firat University Medical Faculty, Elazig, Turkey
    • Corresponding Author InformationCorresponding author. Department of Otorhinolaryngology, Firat University, Medical Faculty, 23200 Elazig, Turkey. Tel.: + 90 424 233 35 55; fax: +90 424 238 80 96.
  • ,
  • Sinasi Yalcin, MD

      Affiliations

    • Department of Otorhinolaryngology, Firat University Medical Faculty, Elazig, Turkey

Received 3 May 2007 published online 16 June 2008.

Abstract 

Purpose

This study was performed to investigate the histopathologic changes observed in mastoid cavity of guinea pigs after the application of mitomycin C after mastoidectomy.

Materials and methods

The study was performed on 50 guinea pigs. Unilateral (right ear) mastoidectomy was performed on all guinea pigs. Twenty-five guinea pigs were separated as study group and the remaining were separated as control group. A mitomycin C–soaked sponge was placed in the mastoid cavities of the study group and a dry sponge was placed in those of the control group. Their mastoid cavities were examined histopathologically for absorbable sponge waste, abscess formation, fibrosis, vascularization, polymorphonuclear leukocyte infiltration, edema, lymphoplasmacytic inflammatory infiltration, and granulation tissue.

Results

Absorbable sponge waste, abscess formation, fibrosis, vascularization, edema, and lymphoplasmacytic inflammatory infiltration were not significantly different between the groups. However, polymorphonuclear leukocyte infiltration and granulation tissue were statistically different between the groups.

Conclusion

Mitomycin C can be used after mastoidectomy to decrease the granulation tissue formation in ear discharges and to prevent the discharge.

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PII: S0196-0709(07)00144-5

doi:10.1016/j.amjoto.2007.09.005

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 29, Issue 5 , Pages 300-304, September 2008