Steven Y Ho1, John F Kveton. 1. Department of Otolaryngology, Northwestern University School of Medicine, Evanston, Ill 60202, USA. syh_me109g@yahoo.com
Abstract
OBJECTIVE: To demonstrate the efficacy of intact canal wall procedure coupled with a second-stage exploration for the treatment of cholesteatoma. DESIGN: Retrospective case study of patients with cholesteatomas treated with staged surgical extirpation. A minimum of 6 months' postoperative follow-up time was required for inclusion into the study. SETTING: Tertiary academic referral center. Patients A total of 35 adult and pediatric patients, ranging from 9 to 65 years of age, who underwent 2-stage procedures for removal of cholesteatomas. INTERVENTIONS: Two-stage procedures, separated by 6 months, performed with posterior tympanotomy approaches. MAIN OUTCOME MEASURES: The presence or absence of cholesteatoma on second-stage look and the subsequent surgical treatment for recurrent cholesteatoma. The overall hearing results after the completion of the 2-staged procedure were calculated. RESULTS: Disease was controlled in 26 (74%) of the patients. Residual and/or recurrent cholesteatomas were found in 9 (26%) of the patients during the second-stage operation. Of these patients, 5 (14% of the total group) ultimately required conversion to canal-wall-down procedure. Average hearing gain at the completion of the second-stage procedure was 9 dB. CONCLUSIONS: A planned 2-stage procedure that uses the posterior tympanotomy approach for the control of cholesteatoma is an effective technique. This approach offers significant potential for hearing preservation and restoration.
OBJECTIVE: To demonstrate the efficacy of intact canal wall procedure coupled with a second-stage exploration for the treatment of cholesteatoma. DESIGN: Retrospective case study of patients with cholesteatomas treated with staged surgical extirpation. A minimum of 6 months' postoperative follow-up time was required for inclusion into the study. SETTING: Tertiary academic referral center. Patients A total of 35 adult and pediatric patients, ranging from 9 to 65 years of age, who underwent 2-stage procedures for removal of cholesteatomas. INTERVENTIONS: Two-stage procedures, separated by 6 months, performed with posterior tympanotomy approaches. MAIN OUTCOME MEASURES: The presence or absence of cholesteatoma on second-stage look and the subsequent surgical treatment for recurrent cholesteatoma. The overall hearing results after the completion of the 2-staged procedure were calculated. RESULTS: Disease was controlled in 26 (74%) of the patients. Residual and/or recurrent cholesteatomas were found in 9 (26%) of the patients during the second-stage operation. Of these patients, 5 (14% of the total group) ultimately required conversion to canal-wall-down procedure. Average hearing gain at the completion of the second-stage procedure was 9 dB. CONCLUSIONS: A planned 2-stage procedure that uses the posterior tympanotomy approach for the control of cholesteatoma is an effective technique. This approach offers significant potential for hearing preservation and restoration.
Authors: Joshua Gafford; Michael Freeman; Loris Fichera; Jack Noble; Robert Labadie; Robert J Webster Journal: Ann Biomed Eng Date: 2020-05-26 Impact factor: 3.934
Authors: Süleyman Cebeci; Mehmet Suat Özbilen; Ismet Bayramoğlu; Yusuf Kemal Kemaloğlu; Kadir Kemal Uygur; Yildirim Ahmet Bayazit; Recep Karamert Journal: Turk J Med Sci Date: 2020-02-13 Impact factor: 0.973
Authors: Zhen Jason Qian; Emma D Tran; Jennifer C Alyono; Alan G Cheng; Iram N Ahmad; Kay W Chang Journal: Otol Neurotol Date: 2021-10-01 Impact factor: 2.619
Authors: L Presutti; F M Gioacchini; M Alicandri-Ciufelli; D Villari; D Marchioni Journal: Acta Otorhinolaryngol Ital Date: 2014-06 Impact factor: 2.124