M Tarabichi1. 1. Section of Otolaryngology, American Hospital-Dubai, United Arab Emirates.
Abstract
OBJECTIVE: This study aimed to describe and evaluate endoscopic technique for treatment of acquired cholesteatoma. STUDY DESIGN: This study was a case series. SETTINGS: The study was performed in a private otolaryngology practice. PATIENTS: Thirty-eight adult patients with acquired cholesteatoma and no previous ear surgery composed the patient population. INTERVENTION: Thirty-six patients underwent transcanal endoscopic tympanotomy and extended atticotomy with removal of the cholesteatoma sac; the attic defect was reconstructed in 25 patients and was packed open in 11 patients. Two patients underwent traditional postauricular procedures. MAIN OUTCOME MEASURE: The main outcome measure was disease-free ears as evident on: 1) clinical examination at 1 year follow-up for 30 patients and at 2 years for 13 patients; and 2) surgical exploration in 6 patients at 2 years. RESULTS: There were no significant complications associated with the 36 endoscopic procedures: 29 of 30 patients were disease free at 1 year, 10 of 13 were disease free on clinical examination at 2 years, and 4 of 6 were disease free on surgical exploration at 2 years. CONCLUSIONS: Early results indicate that endoscopic removal of cholesteatoma offers a safe and effective transcanal alternative to postauricular procedures.
OBJECTIVE: This study aimed to describe and evaluate endoscopic technique for treatment of acquired cholesteatoma. STUDY DESIGN: This study was a case series. SETTINGS: The study was performed in a private otolaryngology practice. PATIENTS: Thirty-eight adult patients with acquired cholesteatoma and no previous ear surgery composed the patient population. INTERVENTION: Thirty-six patients underwent transcanal endoscopic tympanotomy and extended atticotomy with removal of the cholesteatoma sac; the attic defect was reconstructed in 25 patients and was packed open in 11 patients. Two patients underwent traditional postauricular procedures. MAIN OUTCOME MEASURE: The main outcome measure was disease-free ears as evident on: 1) clinical examination at 1 year follow-up for 30 patients and at 2 years for 13 patients; and 2) surgical exploration in 6 patients at 2 years. RESULTS: There were no significant complications associated with the 36 endoscopic procedures: 29 of 30 patients were disease free at 1 year, 10 of 13 were disease free on clinical examination at 2 years, and 4 of 6 were disease free on surgical exploration at 2 years. CONCLUSIONS: Early results indicate that endoscopic removal of cholesteatoma offers a safe and effective transcanal alternative to postauricular procedures.
Authors: Elliott D Kozin; Shawn Gulati; Alyson B Kaplan; Ashton E Lehmann; Aaron K Remenschneider; Lukas D Landegger; Michael S Cohen; Daniel J Lee Journal: Laryngoscope Date: 2014-11-24 Impact factor: 3.325
Authors: Rory J Lubner; Samuel R Barber; Renata M Knoll; Judith Kempfle; Daniel J Lee; Katherine L Reinshagen; Aaron K Remenschneider; Elliott D Kozin Journal: J Neurol Surg B Skull Base Date: 2019-11-07