alexa Follow-up of cholesteatoma surgery: open versus closed tympanoplasty.


Surgery: Current Research

Author(s): Stankovic M

Abstract Share this page

Abstract BACKGROUND: There are no universally accepted opinions about the choice of surgical technique and outcome of surgery for cholesteatoma in different age groups and localizations. METHODS: A prospective study of 758 patients with cholesteatomas was performed. They were divided into three age groups: children younger than 9 years, adolescents aged 10-16 years, and adults. Cholesteatoma was classified as: attic, sinus and tensa cholesteatoma. Classical canal wall-up or wall-down tympanoplasty was performed in all the cases, and reoperation was done later if needed. Anatomical and functional results were followed up regularly, and evaluated 3 years after the operations. RESULTS: During the postoperative course, after 3 years, retraction of the neomembrane was found in 23.8\% of younger children, 27.6\% of adolescents, and in 9.9\% of adults. Recurrent cholesteatomas were more than twice as frequent in children (19.0\%) as in adults (9.4\%). Reoperation was performed in 38.1\% of children and in 9.4\% adults. In one fourth of pediatric cholesteatoma reoperations, conversion to open tympanoplasty was done. Retraction and recurrent disease were present in about 10\% of attic and sinus cholesteatomas, and in 15.5\% of tensa cholesteatomas. CONCLUSION: Postoperative audiological results of cholesteatoma surgery in children are comparable to adults. Retraction pockets, recurrent cholesteatomas and reoperations are twice as frequent in the pediatric group as in adults. The worst anatomical and functional results are achieved in tensa cholesteatomas. The age of the patient and localization of cholesteatoma are very important factors that determine the type of surgical procedure and the results of surgery for middle ear cholesteatoma. A closed technique is better for attic and sinus cholesteatomas, while in tensa cholesteatomas, an open technique seems more appropriate. (c) 2007 S. Karger AG, Basel. This article was published in ORL J Otorhinolaryngol Relat Spec and referenced in Surgery: Current Research

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version