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Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma

Year 2003, Volume: 10 Issue: 2, 47 - 50, 10.04.2003

Osman Nuri Özgirgin Erdinç Aydın Levent Naci Özlüoğlu Tuncay Özçelik

Abstract

Objectives: We evaluated the factors that have considerable significance on the outcome of open cavi- ty procedures in the treatment of cholesteatoma.Patients and Methods: The study included 66 patients 43 males, 23 females; mean age 47 years; range 21 to 69 years who underwent surgery for cholesteatoma. Of these, 56 patients completed at least a five-year follow-up.Results: Mucosal infections and granulation tissue formation occurred in seven patients 10% in the early postoperative period. Retraction pockets devel- oped in three patients 4% ; of these, only one patient required excision because of deep localization. Drum perforations that occurred in two patients 3% were repaired by myringoplasty. Revision surgery was per­ formed in four patients 7.1% due to residual cholesteatoma within a five-year follow-up.Conclusion: The height of the facial ridge was found as the most important factor related to a successful outcome of open-technique procedures.Other factors included the creation of a smooth mastoid cavity with round edges, removal of ali diseased mastoid cells, and an extensive conchameatoplasty.

Keywords

Cholesteatoma middle ear/surgery/complications otitis media with effusion/surgery mastoid/surgery mastoiditis/surgery postoperative complications recurrence tympanic membrane

References

  • Babighian G. Posterior and attic wall osteoplasty: hear- ing results and recurrence rates in cholesteatoma. Otol Neurotol 2002;23:14-7.
  • Huttenbrink KB. Surgical treatment of chronic otitis media. I: Indications, preoperative care and surgical principles. HNO 1994;42:582-93. [Abstract]
  • Cura O. Orta kulak mikrocerrahisinde değer taflıyan pratik özellikler. Türk Otolarengoloji Arflivi 2002;40: 125-36.
  • Caylan R, Sanna M. Meatoplasty technique in canal wall down pro c e d u res. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 1997;7:137-40.
  • Koyuncu M, Tekat A, fieflen T, Tanyeri Y, Ünal R, Elhami AR. Techniques in cholesteatoma surgery and our results. Türk Otolarengoloji Arflivi 1998;36:77-81.
  • Kanlikama M, Mumbuc S, Segmen M. Canal wall-down t y m p a n o p l a s t y. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 1999;6:183-6.
  • Kalcıoğlu MT, Öncel S, Akdafl D, Çokkeser Y, Miman MC, Erdem T ve ark. Açık kavite timpanoplasti erken dönem sonuçlarımız. Otoskop 2002;2:70-4.
  • Wormald PJ, Nilssen EL. The facial ridge and the dis- c h a rging mastoid cavity. Laryngoscope 1998;108(1 Pt 1): 9 2 - 6 .
  • Taibah A, Russo A, Çaylan R, Landolfi M, Mancini F, Sanna M. Canal wall down pro c e d u re: causes of failure and pitfalls. In: Sanna M, editor. Cholesteatoma and mastoid surg e r y. Rome: CIC Edizioni Internazionali; 1997. p. 736-42.
  • Falcioni M, De Donato G, Landolfi M, Ferrara S, Çaylan R, Taibah A, et al. The modified Bondy tech- nique in the treatment of epitympanic cholesteatoma. In: Sanna M, editor. Cholesteatoma and mastoid surg e r y. Rome: CIC Edizioni Internazionali; 1997. p. 676-9.
  • Mutlu C, Saleh E, Sanna M, Karmarkar S, Bhatia S. Ko- lesteatom tedavisi. Bireye uygun teknik seçim. Kulak Burun Boğaz ve Bafl Boyun Cerrahisi Dergisi 1995; 3:196-201.
  • van Hasselt CA. Toynbee Memorial Lecture 1994: mas- toid surgery and the Hong Kong Flap. J Laryngol Otol 1994;108:825-33.
  • Portmann M, Portmann D. Management of open and closed cavities in otology. Rev Laryngol Otol Rhinol 1990;111:181-3. [Abstract]
  • Gorur K, Ozcan C, Unal M, Vayisoglu Y. Causes of fail- ure in open cavity mastoidectomy. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2002;9:179-83.
  • Duckert LG, Makielski KH, Helms J. Management of anterior epitympanic cholesteatoma: expectations after epitympanic approach and canal wall reconstruc- tion. Otol Neurotol 2002;23:8-13.
  • Palva T. Treatment of cholesteatoma. Factors aff e c t i n g cholesteatoma removal. In: Tos M, Thomsen J, Peitersen E, editors. Proceedings of the Third International C o n f e rence on Cholesteatoma and Mastoid Surg e r y. A m s t e rdam: Kugler & Ghedini Publications; 1989. p. 9 11 - 2 0 .
  • Black B. Mastoidectomy elimination: obliterate, recon- struct, or ablate? Am J Otol 1998;19:551-7.

Kolesteatom nedeniyle açık tenik cerrahi uygulanan olgularda başarıyı etkileyen faktörler

Year 2003, Volume: 10 Issue: 2, 47 - 50, 10.04.2003

Osman Nuri Özgirgin Erdinç Aydın Levent Naci Özlüoğlu Tuncay Özçelik

Abstract

Amaç: Çalıflmamızda, kolesteatom tedavisinde uygulanan açık teknik ameliyatlarında baflarıyı etkileyen faktörler arafltırıldı. Hastalar ve Yöntemler: Kolesteatom nedeniyleaçık teknik uygulanan 66 hastaya ait uzun dönemli sonuçlar değerlendirildi. Bunların 56’sı befl yıllık düzenli takibi tamamlamıfl hastalardı. Bulgul a r : Ameliyat sonrası erken dönemde yedihastada %10 granülasyon dokusu ve mukozal enfeksiyon görüldü. Üç hastada %4 retraksiyon cebiolufltu; ancak bunların sadece birinde eksizyon gerekti. İki hastada %3 ameliyat sonrası dönemdezarda oluflan perforasyon miringoplasti yapılarakkapatıldı. Befl yıllık takip süresince dört hastada %7.1 rezidü kolesteatom nedeniyle revizyon cerrahisi yapıldı. Son u ç : Açık teknikte ameliyat baflarısını etkileyen enönemli faktörün fasyal tümsek yüksekliği olduğu sonucuna varıldı. Kenarları keskin olmayan düzgün yüzeyli mastoid kavite oluflturma, tüm hastalıklı hücrelerin temizlenmesi, genifl konkameatoplasti oluflturmabaflarıyı etkileyen diğer faktörler olarak belirlendi

Keywords

Kolesteatom orta kulak/cerrahi/komplikasyon efüzyonlu otitis media/cerrahi mastoid/cerrahi mastoidit/cerrahi ameliyat sonrası komplikasyon nüks timpanik membran.

References

  • Babighian G. Posterior and attic wall osteoplasty: hear- ing results and recurrence rates in cholesteatoma. Otol Neurotol 2002;23:14-7.
  • Huttenbrink KB. Surgical treatment of chronic otitis media. I: Indications, preoperative care and surgical principles. HNO 1994;42:582-93. [Abstract]
  • Cura O. Orta kulak mikrocerrahisinde değer taflıyan pratik özellikler. Türk Otolarengoloji Arflivi 2002;40: 125-36.
  • Caylan R, Sanna M. Meatoplasty technique in canal wall down pro c e d u res. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 1997;7:137-40.
  • Koyuncu M, Tekat A, fieflen T, Tanyeri Y, Ünal R, Elhami AR. Techniques in cholesteatoma surgery and our results. Türk Otolarengoloji Arflivi 1998;36:77-81.
  • Kanlikama M, Mumbuc S, Segmen M. Canal wall-down t y m p a n o p l a s t y. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 1999;6:183-6.
  • Kalcıoğlu MT, Öncel S, Akdafl D, Çokkeser Y, Miman MC, Erdem T ve ark. Açık kavite timpanoplasti erken dönem sonuçlarımız. Otoskop 2002;2:70-4.
  • Wormald PJ, Nilssen EL. The facial ridge and the dis- c h a rging mastoid cavity. Laryngoscope 1998;108(1 Pt 1): 9 2 - 6 .
  • Taibah A, Russo A, Çaylan R, Landolfi M, Mancini F, Sanna M. Canal wall down pro c e d u re: causes of failure and pitfalls. In: Sanna M, editor. Cholesteatoma and mastoid surg e r y. Rome: CIC Edizioni Internazionali; 1997. p. 736-42.
  • Falcioni M, De Donato G, Landolfi M, Ferrara S, Çaylan R, Taibah A, et al. The modified Bondy tech- nique in the treatment of epitympanic cholesteatoma. In: Sanna M, editor. Cholesteatoma and mastoid surg e r y. Rome: CIC Edizioni Internazionali; 1997. p. 676-9.
  • Mutlu C, Saleh E, Sanna M, Karmarkar S, Bhatia S. Ko- lesteatom tedavisi. Bireye uygun teknik seçim. Kulak Burun Boğaz ve Bafl Boyun Cerrahisi Dergisi 1995; 3:196-201.
  • van Hasselt CA. Toynbee Memorial Lecture 1994: mas- toid surgery and the Hong Kong Flap. J Laryngol Otol 1994;108:825-33.
  • Portmann M, Portmann D. Management of open and closed cavities in otology. Rev Laryngol Otol Rhinol 1990;111:181-3. [Abstract]
  • Gorur K, Ozcan C, Unal M, Vayisoglu Y. Causes of fail- ure in open cavity mastoidectomy. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2002;9:179-83.
  • Duckert LG, Makielski KH, Helms J. Management of anterior epitympanic cholesteatoma: expectations after epitympanic approach and canal wall reconstruc- tion. Otol Neurotol 2002;23:8-13.
  • Palva T. Treatment of cholesteatoma. Factors aff e c t i n g cholesteatoma removal. In: Tos M, Thomsen J, Peitersen E, editors. Proceedings of the Third International C o n f e rence on Cholesteatoma and Mastoid Surg e r y. A m s t e rdam: Kugler & Ghedini Publications; 1989. p. 9 11 - 2 0 .
  • Black B. Mastoidectomy elimination: obliterate, recon- struct, or ablate? Am J Otol 1998;19:551-7.
There are 17 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Osman Nuri Özgirgin This is me

Erdinç Aydın This is me

Levent Naci Özlüoğlu This is me

Tuncay Özçelik This is me

Publication Date April 10, 2003
Published in Issue Year 2003 Volume: 10 Issue: 2

Cite

APA Özgirgin, O. N., Aydın, E., Özlüoğlu, L. N., Özçelik, T. (2003). Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma. The Turkish Journal of Ear Nose and Throat, 10(2), 47-50.
AMA Özgirgin ON, Aydın E, Özlüoğlu LN, Özçelik T. Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma. Tr-ENT. April 2003;10(2):47-50.
Chicago Özgirgin, Osman Nuri, Erdinç Aydın, Levent Naci Özlüoğlu, and Tuncay Özçelik. “Factors That Affect the Outcome of Open-Technique Procedures Performed in the Treatment of Cholesteatoma”. The Turkish Journal of Ear Nose and Throat 10, no. 2 (April 2003): 47-50.
EndNote Özgirgin ON, Aydın E, Özlüoğlu LN, Özçelik T (April 1, 2003) Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma. The Turkish Journal of Ear Nose and Throat 10 2 47–50.
IEEE O. N. Özgirgin, E. Aydın, L. N. Özlüoğlu, and T. Özçelik, “Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma”, Tr-ENT, vol. 10, no. 2, pp. 47–50, 2003.
ISNAD Özgirgin, Osman Nuri et al. “Factors That Affect the Outcome of Open-Technique Procedures Performed in the Treatment of Cholesteatoma”. The Turkish Journal of Ear Nose and Throat 10/2 (April 2003), 47-50.
JAMA Özgirgin ON, Aydın E, Özlüoğlu LN, Özçelik T. Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma. Tr-ENT. 2003;10:47–50.
MLA Özgirgin, Osman Nuri et al. “Factors That Affect the Outcome of Open-Technique Procedures Performed in the Treatment of Cholesteatoma”. The Turkish Journal of Ear Nose and Throat, vol. 10, no. 2, 2003, pp. 47-50.
Vancouver Özgirgin ON, Aydın E, Özlüoğlu LN, Özçelik T. Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma. Tr-ENT. 2003;10(2):47-50.