OBJECTIVES: To assess prevalence and location of residual cholesteatoma following closed "canal wall up" tympanoplasty (CWUT). The evolution of follow-up strategy is discussed. PATIENTS AND METHODS: A retrospective study was run in adults operated on by CWUT for middle-ear cholesteatoma and who had undergone second look surgery and/or postoperative radiology (CT-scan, diffusion-weighted MRI). RESULTS: One hundred and nine patients (113 ears) underwent the procedure. Mean follow-up was 48 months (range, 24-96 months). Twenty-nine residual cholesteatomas were found (25%), including 11 located in the anterior attic (38%). Follow-up included 77 second look operations (70%), and 71 radiological examinations (62 CT-scans and nine diffusion-weighted MRIs). Second look surgery was without benefit for the patient (no residual, no ossiculoplasty) in one third of cases. CONCLUSION: Residual cholesteatoma in the anterior attic is a problem in CWUT. When postoperative auditory results are good, second look surgery should not be systematic but guided by high quality imaging.
OBJECTIVES: To assess prevalence and location of residual cholesteatoma following closed "canal wall up" tympanoplasty (CWUT). The evolution of follow-up strategy is discussed. PATIENTS AND METHODS: A retrospective study was run in adults operated on by CWUT for middle-ear cholesteatoma and who had undergone second look surgery and/or postoperative radiology (CT-scan, diffusion-weighted MRI). RESULTS: One hundred and nine patients (113 ears) underwent the procedure. Mean follow-up was 48 months (range, 24-96 months). Twenty-nine residual cholesteatomas were found (25%), including 11 located in the anterior attic (38%). Follow-up included 77 second look operations (70%), and 71 radiological examinations (62 CT-scans and nine diffusion-weighted MRIs). Second look surgery was without benefit for the patient (no residual, no ossiculoplasty) in one third of cases. CONCLUSION: Residual cholesteatoma in the anterior attic is a problem in CWUT. When postoperative auditory results are good, second look surgery should not be systematic but guided by high quality imaging.
Authors: Karen Van der Gucht; Vincent Van Rompaey; Olivier Vanderveken; Paul Van de Heyning; Jos Claes Journal: Eur Arch Otorhinolaryngol Date: 2013-08-14 Impact factor: 2.503
Authors: Alaa Eldin M Elfeky; Alaa O Khazbzk; Wail F Nasr; Tarek A Emara; Mohamed W Elanwar; Hazem S Amer; Yasser A Fouad Journal: Indian J Otolaryngol Head Neck Surg Date: 2017-02-06
Authors: A-L Fourez; M Akkari; G Gascou; P-H Lefevre; C Duflos; A Kaderbay; M Mondain; F Venail Journal: AJNR Am J Neuroradiol Date: 2021-04-15 Impact factor: 4.966
Authors: L Presutti; F M Gioacchini; M Alicandri-Ciufelli; D Villari; D Marchioni Journal: Acta Otorhinolaryngol Ital Date: 2014-06 Impact factor: 2.124