Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

Experience with surgical management of cholesteatomas

(2006) Experience with surgical management of cholesteatomas. Archives of Otolaryngology-Head & Neck Surgery. pp. 931-933. ISSN 0886-4470

[img] Text
Experience with surgical management of cholesteatomas..pdf

Download (73kB)

Official URL:


Objective: To evaluate long-term results after at least 10 years of follow-up for a common method of ear surgery for managing cholesteatomas. Methods: This retrospective study was performed by assessing the medical records of adult patients who underwent canal-wall-down mastoidectomy for management of cholesteatomas. Results: From January 1, 1989, through December 31, 1995, 148 patients underwent surgery for cholesteatoma. Of these, 72 (48) were treated by using the canal-wall-down method. During follow-up (10-16 years), 5 (7) patients underwent at least 1 revision operation. Ten years after primary surgery, 69 (96) of the ears were dry and 55 (76) had intact tympanic membranes with fair hearing in 30 (42). One patient who was deaf was seen in this group of 72 patients. The recurrence rate was 7, independent of the size of the cholesteatoma, mastoid status, or labyrinth or footplate erosion. The major predisposing factor for recurrence was retraction, especially in the posterior superior quadrant. Conclusion: Our results showed that the surgical technique could be improved by using endoscopes to lower the recurrence rate and improve hearing results.

Item Type: Article
Keywords: recurrent cholesteatoma acquired cholesteatoma middle-ear follow-up surgery tympanoplasty mastoidectomy children Otorhinolaryngology Surgery
Page Range: pp. 931-933
Journal or Publication Title: Archives of Otolaryngology-Head & Neck Surgery
Journal Index: ISI
Volume: 132
Number: 9
Identification Number:
ISSN: 0886-4470
Depositing User: مهندس مهدی شریفی

Actions (login required)

View Item View Item