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Long-term results of functional surgery for attic cholesteatoma

Year 2005, Volume: 14 Issue: 1, 1 - 4, 20.02.2005

Abstract

Objectives: We evaluated the long-term results of functional surgery for attic cholesteatoma.Patients and Methods: İn this study, we presented the results of 81 patients 42 males 39 females; mean age 34 years; range 8 to 59 years who undervvent functional surgical techniques for attic cholesteatomas between January 1992 and January 1998. AH the patients were followed-up for at least five years.Results: For eradication of attic cholesteatoma, canal wall-down technique tympanoplasty was required in the majority of the patients. After surgery there was a statistically significant hearing improve- ment in ali but four cases. İn the postoperative period, residual cholesteatoma and graft perforation were found in five and six patients, respectively. Two patients required revision meatoplasty for problems related with cavity clearence.Conclusion: Apart from satisfactory hearing improvement with functional surgery, a successful self-clearance was obtained in mastoid cavities with saucerization and meatoplasty. Canal wall- down tympanoplasty is associated with very low incidences of residual or recurrent cholesteatoma in the majority of patients.

References

  • Mazzoni A, Pareschi R, Calabrese V. Long-term recur- rence of cholesteatoma in closed tympanoplasty. A prospective study. In: Tos M, Thomson J, Peitersen E, editors. Cholesteatoma and mastoid surgery. Proceedings of the Third International Conference on Cholesteatoma and Mastoid Surgery. Copenhagen, Denmark. Amsterdam, the Netherlands: Kugler & Ghedini Publications; 1989. p. 827-30.
  • Tos M, Lau T. Hearing after surgery for cholesteatoma using various techniques. Auris Nasus Larynx 1989;16:61-73.
  • Mercke U. Anatomic findings one year after combined approach tympanoplasty. Am J Otol 1986;7:150-4.
  • Yanagihara N. Surgical treatment of choleastaotoma problems: indications and technique. In: Sade J, editor. Cholesteatoma and mastoid surgery. 1st ed. Amsterdam: Kugler Publications; 1982. p. 97-9.
  • Glasscock ME, Miller GW. Intact canal wall tym- panoplasty in the management of cholesteatoma. Laryngoscope 1976;86:1639-57.
  • Sheehy JL. Cholesteatoma surgery: canal wall down procedures. Ann Otol Rhinol Laryngol 1988;97:30-5.
  • Chole RA, Brodie HA. Surgery of the mastoid and pet- rosa. In: Bailey BJ, editor. Head and neck surgery-oto- laryngology. 2nd ed. Philadelphia: JB Lippincott; 1998. p. 2053-72.
  • Tos M. Importance of eustachian tube function in mid- dle ear surgery. Ear Nose Throat J 1998;77:744-7.
  • Rosenfeld RM, Moura RL, Bluestone CD. Predictors of residual-recurrent cholesteatoma in children. Arch Otolaryngol Head Neck Surg 1992;118:384-91.
  • Akyıldız N. Kulak hastalıkları ve mikrocerrahisi. Cilt 2, 2. Baskı. Ankara: Bilimsel Tıp Yayınevi; 1998. s. 410.
  • Stangerup SE, Drozdziewicz D, Tos M, Hougaard- Jensen A. Recurrence of attic cholesteatoma: different methods of estimating recurrence rates. Otolaryngol Head Neck Surg 2000;123:283-7.
  • De la Cruz A, Fayad JN. Detection and management of childhood cholesteatoma. Pediatr Ann 1999;28:370-3.
  • Golz A, Goldenberg D, Netzer A, Westerman LM, Westerman ST, Fradis M, et al. Cholesteatomas associ- ated with ventilation tube insertion. Arch Otolaryngol Head Neck Surg 1999;125:754-7.
  • Thompson JW. Cholesteatomas. Pediatr Rev 1999;20:134-6.
  • Sade J, Berco E, Fuchs C. Results of preservation of the posterior canal wall in cholesteatoma surgery as relat- ed to middle-ear aeration. J Laryngol Otol 1986;100:1351-8.

Attik kolesteatomlu olgularda fonksiyonel cerrahinin uzun dönem sonuçları

Year 2005, Volume: 14 Issue: 1, 1 - 4, 20.02.2005

Abstract

Amaç: Attik kolesteatomlu hastalarda fonksiyonelcerrahinin uzun dönem sonuçları değerlendirildi.Hastalar ve Yöntemler: Bu çalışmada Ocak 19921998 tarihleri arasında attik kolesteatom nedeniyleameliyat edilen ve tamamına fonksiyonel cerrahi uygulanan 81 olgunun sonuçları sunuldu. Tüm olgular en azbeş yıl süreyle izlendi.Bulgular: Olguların büyük bir kısmında hastalığıneradikasyonu için canal wall-down tekniği ile timpanoplasti gerekti. Dört olgu dışında tüm olgulardaameliyat sonrasında istatistiksel olarak anlamlı birişitme kazancı elde edildi. Ameliyat sonrası kontrollerde, beş hastada nüks kolesteatom, altı hastada ise greft perforasyonu gözlendi. Kavite temizliğine bağlı sorunlar nedeniyle iki olguya revizyonmeatoplasti uygulanması gerekti.Sonuç: İşitme sonuçlarının oldukça tatminkar olmasıyanı sıra saucerization ve meatoplasti yöntemlerininkendi kendini temizleyebilecek bir mastoid kavitesioluşturabildiği görüldü. Açık teknik uygulanan olgularda residüel ya da nüks kolesteatom oranının son derece düşük olması, bu tekniğin olguların büyük bir kısmında uygulanmasında önemli bir etkendir

References

  • Mazzoni A, Pareschi R, Calabrese V. Long-term recur- rence of cholesteatoma in closed tympanoplasty. A prospective study. In: Tos M, Thomson J, Peitersen E, editors. Cholesteatoma and mastoid surgery. Proceedings of the Third International Conference on Cholesteatoma and Mastoid Surgery. Copenhagen, Denmark. Amsterdam, the Netherlands: Kugler & Ghedini Publications; 1989. p. 827-30.
  • Tos M, Lau T. Hearing after surgery for cholesteatoma using various techniques. Auris Nasus Larynx 1989;16:61-73.
  • Mercke U. Anatomic findings one year after combined approach tympanoplasty. Am J Otol 1986;7:150-4.
  • Yanagihara N. Surgical treatment of choleastaotoma problems: indications and technique. In: Sade J, editor. Cholesteatoma and mastoid surgery. 1st ed. Amsterdam: Kugler Publications; 1982. p. 97-9.
  • Glasscock ME, Miller GW. Intact canal wall tym- panoplasty in the management of cholesteatoma. Laryngoscope 1976;86:1639-57.
  • Sheehy JL. Cholesteatoma surgery: canal wall down procedures. Ann Otol Rhinol Laryngol 1988;97:30-5.
  • Chole RA, Brodie HA. Surgery of the mastoid and pet- rosa. In: Bailey BJ, editor. Head and neck surgery-oto- laryngology. 2nd ed. Philadelphia: JB Lippincott; 1998. p. 2053-72.
  • Tos M. Importance of eustachian tube function in mid- dle ear surgery. Ear Nose Throat J 1998;77:744-7.
  • Rosenfeld RM, Moura RL, Bluestone CD. Predictors of residual-recurrent cholesteatoma in children. Arch Otolaryngol Head Neck Surg 1992;118:384-91.
  • Akyıldız N. Kulak hastalıkları ve mikrocerrahisi. Cilt 2, 2. Baskı. Ankara: Bilimsel Tıp Yayınevi; 1998. s. 410.
  • Stangerup SE, Drozdziewicz D, Tos M, Hougaard- Jensen A. Recurrence of attic cholesteatoma: different methods of estimating recurrence rates. Otolaryngol Head Neck Surg 2000;123:283-7.
  • De la Cruz A, Fayad JN. Detection and management of childhood cholesteatoma. Pediatr Ann 1999;28:370-3.
  • Golz A, Goldenberg D, Netzer A, Westerman LM, Westerman ST, Fradis M, et al. Cholesteatomas associ- ated with ventilation tube insertion. Arch Otolaryngol Head Neck Surg 1999;125:754-7.
  • Thompson JW. Cholesteatomas. Pediatr Rev 1999;20:134-6.
  • Sade J, Berco E, Fuchs C. Results of preservation of the posterior canal wall in cholesteatoma surgery as relat- ed to middle-ear aeration. J Laryngol Otol 1986;100:1351-8.
There are 15 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Tolga Kandoğan This is me

Gürol Gültekin This is me

Levent Olgun This is me

Zafer Eryılmaz This is me

Uğur Çerçi This is me

Levent Aydar This is me

Publication Date February 20, 2005
Published in Issue Year 2005 Volume: 14 Issue: 1

Cite

APA Kandoğan, T., Gültekin, G., Olgun, L., Eryılmaz, Z., et al. (2005). Attik kolesteatomlu olgularda fonksiyonel cerrahinin uzun dönem sonuçları. The Turkish Journal of Ear Nose and Throat, 14(1), 1-4.
AMA Kandoğan T, Gültekin G, Olgun L, Eryılmaz Z, Çerçi U, Aydar L. Attik kolesteatomlu olgularda fonksiyonel cerrahinin uzun dönem sonuçları. Tr-ENT. February 2005;14(1):1-4.
Chicago Kandoğan, Tolga, Gürol Gültekin, Levent Olgun, Zafer Eryılmaz, Uğur Çerçi, and Levent Aydar. “Attik Kolesteatomlu Olgularda Fonksiyonel Cerrahinin Uzun dönem sonuçları”. The Turkish Journal of Ear Nose and Throat 14, no. 1 (February 2005): 1-4.
EndNote Kandoğan T, Gültekin G, Olgun L, Eryılmaz Z, Çerçi U, Aydar L (February 1, 2005) Attik kolesteatomlu olgularda fonksiyonel cerrahinin uzun dönem sonuçları. The Turkish Journal of Ear Nose and Throat 14 1 1–4.
IEEE T. Kandoğan, G. Gültekin, L. Olgun, Z. Eryılmaz, U. Çerçi, and L. Aydar, “Attik kolesteatomlu olgularda fonksiyonel cerrahinin uzun dönem sonuçları”, Tr-ENT, vol. 14, no. 1, pp. 1–4, 2005.
ISNAD Kandoğan, Tolga et al. “Attik Kolesteatomlu Olgularda Fonksiyonel Cerrahinin Uzun dönem sonuçları”. The Turkish Journal of Ear Nose and Throat 14/1 (February 2005), 1-4.
JAMA Kandoğan T, Gültekin G, Olgun L, Eryılmaz Z, Çerçi U, Aydar L. Attik kolesteatomlu olgularda fonksiyonel cerrahinin uzun dönem sonuçları. Tr-ENT. 2005;14:1–4.
MLA Kandoğan, Tolga et al. “Attik Kolesteatomlu Olgularda Fonksiyonel Cerrahinin Uzun dönem sonuçları”. The Turkish Journal of Ear Nose and Throat, vol. 14, no. 1, 2005, pp. 1-4.
Vancouver Kandoğan T, Gültekin G, Olgun L, Eryılmaz Z, Çerçi U, Aydar L. Attik kolesteatomlu olgularda fonksiyonel cerrahinin uzun dönem sonuçları. Tr-ENT. 2005;14(1):1-4.