Abstract
This article comments on mastoid development and the main types of surgical interventions available in the surgical armamentarium. The importance of preoperative evaluation is stressed and the various problems that may occur during mastoid surgery are discussed. Special attention is given to intraoperative complications such as bleeding, dural and facial nerve exposure, and facial paralysis. The different types of mastoidectomy (closed cavity, open cavity, and intact bridge mastoidectomy) and accessory methods such as mastoid obliteration (Palva's method) and Thiersch grafting are reviewed. Postoperative care of the cavity and the importance of accessory methods to facilitate it are reassessed.
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