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Yuka Morita, Kuniyuki Takahashi, Shuji Izumi, Yamato Kubota, Shinsuke Ohshima, Yutaka Yamamoto, Sugata Takahashi, Arata Horii
OBJECTIVE: To examine the risk factors of recurrence in pediatric congenital cholesteatoma. STUDY DESIGN: Retrospective chart review. SETTING: University hospital. PATIENTS: Sixty-seven patients having tympanic type of congenital cholesteatoma under 15-years old at surgery. INTERVENTIONS: Canal wall-up tympanomastoidectomy (n = 30) or transcanal atticotomy/tympanoplasty (n = 37) was performed depending on cholesteatoma extension, 16 of which were followed by second-look surgery...
December 2017: Otology & Neurotology
Gavin J le Nobel, Sharon L Cushing, Blake C Papsin, Adrian L James
OBJECTIVE: Residual cholesteatoma most frequently occurs where visualization and surgical access are restricted by anatomic constraints. Other factors that compromise surgical field visualization might also increase rates of residual cholesteatoma. We evaluated whether impaired surgical field clarity from bleeding increases rates of residual cholesteatoma. STUDY DESIGN: Prospective cohort study. SETTING: Tertiary care hospital. PATIENTS: Consecutive series of children having intact canal wall surgery for cholesteatoma...
April 2017: Otology & Neurotology
Cagatay Han Ulku
The objective of this study was to analyze the results of endoscopy-assisted ear surgery for the treatment of chronic otitis media with cholesteatoma, adhesion, or retraction pockets.Fifty-one patients who underwent oto-endoscopy-assisted canal wall up tympanomastoid surgery and/or limited anterior atticotomy with tympanoplasty for chronic otitis media with cholesteatoma, adhesion, or retraction pocket from 2006 to 2013 have been included in this study. Eradication of the disease from the middle ear and mastoid air cells was achieved by combination of the oto-microscobic and oto-endoscopic approaches...
June 2017: Journal of Craniofacial Surgery
Juveria Majeed, L Sudarshan Reddy
Chronic Suppurative Otitis Media (CSOM) is a chronic inflammation of middle ear cleft. It presents with discharging ear and decreased hearing. The diagnosis is mostly on clinical examination with otoscope or oto endoscope. Computerised Tomography (CT) of mastoids is done to evaluate the extent of the disease and its complication. High resolution CT is now the investigation of choice for temporal bone disease. This study emphasizes on the importance of CT scan in diagnosis of inflammatory ear diseases and most importantly identifying pitfalls or complications which a surgeon can come across during surgery...
March 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
Ahmed Omran, Fatthi Abdel Baki, Ahmed Amin
OBJECTIVE: To assess the effectiveness of glass ionomer bone cement (GIBC) in lateral attic wall reconstruction after primary acquired attic cholesteatoma surgery. MATERIALS AND METHODS: This prospective study was conducted on twenty children collected from the ENT outpatient clinics of a secondary and tertiary hospital. All patients presented with chronic suppurative otitis media with cholesteatoma of the primary acquired attic type. All patients underwent intact canal wall mastoidectomy (ICWM) with a transcanal atticotomy to address primary cholesteatoma involving the attic and the supratubal recess...
August 2016: Journal of International Advanced Otology
Yongliang Shao, Yongqing Zhou, Xiaoming Li, Yanqiao Wu, Xuzhen Chen, Chunmei Gao
OBJECTIVE: Dissecting adult cadaver's tragal cartilage and researching its clinical application in ear surgery. METHOD: Dissect the bilateral tragal cartilage of 22 adult cadavers immersed in formalin (both of male and female are 11). Measure and compute the average value of the length, width, thickness and area. Summarize autologous tragal cartilage's clinical application in ear surgery. RESULT: The statistic values of male tragal cartilage were: length (22...
October 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Daniele Bernardeschi, Francesca Yoshie Russo, Yann Nguyen, Giuseppina Canu, Isabelle Mosnier, Daniele De Seta, Evelyne Ferrary, Olivier Sterkers
Surgical management of cholesteatoma limited to the attic and/or mesotympanum remains controversial. The aim of this study is to evaluate the anatomical and the functional results of trans-canal atticotomy in this pathological condition. The records of 27 adult patients treated from 2008 to 2014 who underwent trans-canal atticotomy for primary cholesteatoma surgery were reviewed. Pre-operative physical examination, audiometry, and CT-scan have been analyzed. Intraoperative findings have been described as well as the surgical technique...
October 2016: European Archives of Oto-rhino-laryngology
M Gersdorff, G Heylen, D Franceschi, J-M Gerard
Traditional reconstruction methods of osseous defects within the tympanic frame, most often being the atticotomy, within the framework of chronic otitis media surgery, still do not produce stable or definitive results, usually due to displacement or partial lyse of the transplanted material (cartilage, bone ...). The reconstruction procedure with the aid of hydroxyapatite cement as presented by the authors, allows for a complete, stable and definitive reconstruction.
2014: Revue de Laryngologie—Otologie—Rhinologie
Sohil Vadiya, Anuja Kedia
To evaluate a technique of canal wall up mastoidectomy for limited attic cholesteatoma and to study practical considerations during surgery. Any person undergoing surgery for attic cholesteatoma was thoroughly examined during surgery and decision for doing this canal wall up (CWU) surgery will be taken on operating table. The patients were regularly followed up and microscopic, oto endoscopic and audiological assessments done at regular intervals. Revision surgery was done only if there were signs of recidivism or if ossiculoplasty was planned for second stage or placement of a prosthesis later was considered...
June 2015: Indian Journal of Otolaryngology and Head and Neck Surgery
Abiodun Daud Olusesi, Emmanuel Opaluwah
BACKGROUND: Postauricular cutaneous mastoid fistula (PCMF) is a rare complication of chronic suppurative otitis media, may also complicate ear surgery and, very rarely, has been reported to complicate congenital cholesteatoma. Few authors have given descriptions of techniques of closure, with majority agreeing on the difficulty in managing such fistula due to the necrotic nature of the margin. SETTING: A tertiary care urban referral hospital in a developing economy...
September 2014: Otolaryngologia Polska
Paul C Walker, Sarah E Mowry, Marlan R Hansen, Bruce J Gantz
OBJECTIVES: This study was designed to evaluate the long-term results using the technique of canal wall reconstruction (CWR) tympanomastoidectomy with mastoid obliteration in the treatment of chronic otitis media with cholesteatoma. STUDY DESIGN: Institutional review board-approved retrospective case review. SETTING: Tertiary referral center. PATIENTS: Retrospective review was performed on consecutive patients undergoing CWR tympanomastoidectomy with mastoid obliteration at a single institution from 1997 to 2011...
July 2014: Otology & Neurotology
M Manasawala, M E Cunnane, H D Curtin, G Moonis
BACKGROUND AND PURPOSE: An acquired attic cholesteatoma may spontaneously drain externally into the external auditory canal, leaving a cavity in the attic with the shape of the original cholesteatoma but now filled with air, a phenomenon referred to as "nature's atticotomy" or auto-atticotomy. We describe and quantify the CT appearance of the auto-atticotomy cavity as it pertains to the appearance of the scutum and the lateral attic wall. MATERIALS AND METHODS: Twenty-one patients with erosion of the scutum and loss of the lower attic wall on MDCT were identified during a 5-year span...
January 2014: AJNR. American Journal of Neuroradiology
Paul C Walker, Sarah E Mowry, Marlan R Hansen, Bruce J Gantz
OBJECTIVES: This study was designed to evaluate the long-term results using the technique of canal wall reconstruction (CWR) tympanomastoidectomy with mastoid obliteration in the treatment of chronic otitis media with cholesteatoma. STUDY DESIGN: Institutional review board-approved retrospective case review. SETTING: Tertiary referral center. PATIENTS: Retrospective review was performed on consecutive patients undergoing CWR tympanomastoidectomy with mastoid obliteration at a single institution from 1997 to 2011...
January 2014: Otology & Neurotology
Yi Deng, Fenli Xing, Yuanqing Wu, Ting Chu, Rongrong Chen, Ergong Chen, Xianchao Fan
OBJECTIVE: To observe the surgical results of atticotomy with canalopalsty and tympanoplasty for limited cholesteatoma. METHOD: Thirty-one cases of limited epitympanic cholesteatoma and retraction pocket received atticotomy. The surgical procedure consisted of eliminating cholesteatoma and pocket, reconstructing lateral epitympanic wall and tympanoplasty with cartilage/perichondrium island flap. RESULT: The anatomic pattern of external ear canal appeared near normal, and the hearing level improved or remained normal during 2-year follow up except for 2 cases with tympanosclerosis...
August 2012: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Chin-Lung Kuo, An-Suey Shiao, Wen-Huei Liao, Ching-Yin Ho, Chiang-Feng Lien
OBJECTIVE: Following cholesteatoma surgery, effective long-term hearing preservation in children is difficult and is not typically expected. Hence, long-term data on hearing outcomes are lacking. The aim of this study was to analyze long-term hearing outcomes in children following cholesteatoma surgery. METHODS: For this study, 49 ears in 47 children (≤16 years) with acquired cholesteatomas following atticotomy-limited mastoidectomy with cartilage reconstruction (inside-out approach) during 1986-2010 were included...
2012: Audiology & Neuro-otology
Dragoslava Djerić, Milan B Jovanović, Ivan Baljosević, Srbislav Blazić, Milanko Milojević
INTRODUCTION: Etiopathogenetically, there are two types of chollesteatomas: congenital, and acquired. Numerous theories in the literature try to explain the nature of the disease, however, the question about cholesteatomas remain still unanswered. The aim of the study was to present a case of external ear canal cholesteatoma (EEC) developed following microsurgery (ventilation tube insertion and mastoidectomy), as well as to point ant possible mechanisms if its development. CASE REPORT: A 16-year-old boy presented a 4-month sense of fullness in the ear and otalgia on the left side...
April 2012: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Zhi Gang Zhang, Sui Jun Chen, Wei Sun, Yi Qing Zheng
OBJECTIVES: To present an effective system for the evaluation and surgical management of localized attic cholesteatoma, as well as describing the follow-up of patients treated at our institution. STUDY DESIGN: Retrospective review of single-institution experience. METHODS: A total of 71 patients (71 ears) with localized attic cholesteatoma received atticotomies. Further surgical management was then carried out according to the extent of the cholesteatoma and whether the malleoincudal joint was preserved (type I) or not (type II)...
2010: ORL; Journal for Oto-rhino-laryngology and its related Specialties
Stéphane Tringali, Kanthaiah Koka, Arnaud Deveze, N Julian Holland, Herman A Jenkins, Daniel J Tollin
OBJECTIVES: To assess the importance of 2 variables, transducer tip diameter and resection of the round window (RW) niche, affecting the optimization of the mechanical stimulation of the RW membrane with an active middle ear implant (AMEI). MATERIALS AND METHODS: Ten temporal bones were prepared with combined atticotomy and facial recess approach to expose the RW. An AMEI stimulated the RW with 2 ball tip diameters (0.5 and 1.0 mm) before and after the resection of the bony rim of the RW niche...
2010: Audiology & Neuro-otology
T P Nikolopoulos, P Gerbesiotis
Chronic otitis media with cholesteatoma is considered an "unsafe" ear and generally requires surgical management. This is particularly challenging in children due to anatomical, pathophysiological and social reasons. There are different approaches for this objective. The two main options are the canal wall up and canal wall down mastoidectomy. The aim of this article is to compare the advantages and disadvantages of canal wall up and canal wall down method and present the third way of surgical management: the inside-outside approach through an endaural incision...
September 2009: International Journal of Pediatric Otorhinolaryngology
Ronald J E Pennings, Cor W R J Cremers
OBJECTIVES: We studied the results of postauricular approach atticotomy in patients with cholesteatoma of the anterior epitympanum. METHODS: Twenty-six patients were selected for removal of cholesteatoma of the anterior epitympanum by postauricular approach atticotomy, a closed transcanal procedure that is used to expose and remove cholesteatoma. After removal of cholesteatoma, reconstruction of the scutum is performed with cymbal cartilage. RESULTS: Postauricular approach atticotomy can be performed as part of a canal wall-up procedure in selected cases in which cholesteatoma invades the anterior epitympanum...
March 2009: Annals of Otology, Rhinology, and Laryngology
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