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Evaluation of factors that affect the technique to be used in cholesteatoma surgery

Year 2007, Volume: 17 Issue: 4, 206 - 211, 01.07.2007

Abstract

Objectives: We investigated factors that affect the technique to be used in cholesteatoma surgery.Patients and Methods: The study included 186 patients who unden/vent surgery for suppurative chronic otitis media with cholesteatoma. Öpen technique group A was used in 143 patients, and closed technique group B was used in 43 patients. The two groups were compared with respect to medical age, sex, hearing loss, mastoid pneumatization, site of cholesteatoma, complications and paramedical education level, postoperative patient compliance, health Insurance, the season at the time of operation factors.Results: Medical factors that differed significantly betvveen the two groups included the degree of hearing loss, site of cholesteatoma, and presence of complica­ tions. The only significant difference was in education level among the paramedical factors. A great majority of patients with a hearing loss above 60 dB were in group A.Cholesteatoma was localized in the middle ear and attic in 10 patients, and in the antrum and/or mastoid cells in 133 patients in group A, compared to 37 and six patients in group B, respectively. AH the patients n=34 who had chronic otitis media complications associated with cholesteatoma were in group A.Conclusion: Our findings suggest that selection of the technique for cholesteatoma surgery depends on more than one factor.

References

  • Roland PS, Meyerhoff WL. Open-cavity tympanomas- toidectomy. Otolaryngol Clin North Am 1999;32:525-46.
  • House WF, Sheehy JL. Functional restoration in tym- panoplasty. Arch Otolaryngol 1963;78:304-9.
  • Karmarkar S, Bhatia S, Saleh E, DeDonato G, Taibah A, Russo A, et al. Cholesteatoma surgery: the individual- ized technique. Ann Otol Rhinol Laryngol 1995; 104:591-5.
  • Özbilen S. Kronik süpüratif otitis media. In: Çelik O, editör. Kulak Burun Boğaz Hastalıkları ve Baş Boyun cerrahisi. İstanbul: Turgut Yayıncılık; 2002. s. 160-93.
  • Cody DT, McDonald TJ. Mastoidectomy for acquired cholesteatoma: follow-up to 20 years. Laryngoscope 1984;94:1027-30.
  • Smyth GD. Surgical treatment of cholesteatoma: the role of staging in closed operations. Ann Otol Rhinol Laryngol 1988;97:667-9.
  • Ozgirgin ON, Aydin E, Ozçelik T, Ozlüoğlu LN. Factors that affect the outcome of open-technique pro- cedures performed in the treatment of cholesteatoma. Kulak Burun Bogaz Ihtis Derg 2003;10:47-50.
  • Görür K, Ozcan C, Unal M, Vayisoğlu Y. Causes of failure in open cavity mastoidectomy. Kulak Burun Bogaz Ihtis Derg 2002;9:179-83.
  • Hirsch BE, Kamerer DB, Doshi S. Single-stage man- agement of cholesteatoma. Otolaryngol Head Neck Surg 1992;106:351-4.
  • Austin DF. Single-stage surgery for cholesteatoma: an actuarial analysis. Am J Otol 1989;10:419-25.
  • Schuring AG, Lippy WH, Rizer FM, Schuring LT. Staging for cholesteatoma in the child, adolescent, and adult. Ann Otol Rhinol Laryngol 1990;99:256-60.
  • Schloss MD, Terraza O. Cholesteatoma in children. J Otolaryngol 1991;20:43-5.
  • Stern SJ, Fazekas-May M. Cholesteatoma in the pedi- atric population: prognostic indicators for surgical decision making. Laryngoscope 1992;102:1349-52.
  • Hirsch BE, Kamerer DB, Doshi S. Single-stage man- agement of cholesteatoma. Otolaryngol Head Neck Surg 1992;106:351-4.
  • Fageeh NA, Schloss MD, Elahi MM, Tewfik TL, Manoukian JJ. Surgical treatment of cholesteatoma in children. J Otolaryngol 1999;28:309-12.
  • Ueda H, Nakashima T, Nakata S. Surgical strategy for cholesteatoma in children. Auris Nasus Larynx 2001; 28:125-9.
  • Toner JG, Smyth GD. Surgical treatment of cholesteatoma: a comparison of three techniques. Am J Otol 1990;11:247-9.
  • Sheehy JL. Cholesteatoma surgery: canal wall down procedures. Ann Otol Rhinol Laryngol 1988;97:30-5.
  • Lambert PR. Mastoidectomy. In: Cummings CW, Flint PW, Harker LA, Haughey BH, Richardson MA et al, editors. Cummings Otolaryngology - Head and neck surgery, 4th ed. Philadelphia: Elsevier Mosby; 2005. p. 3075-89.
  • Sade J. Surgical planning of the treatment of cholesteatoma and postoperative follow-up. Ann Otol Rhinol Laryngol 2000;109:372-6.
  • Garap JP, Dubey SP. Canal-down mastoidectomy: experience in 81 cases. Otol Neurotol 2001;22:451-6.

Kolesteatomlu kronik otitis media tedavisinde cerrahi teknik seçimini etkileyen faktörlerin değerlendirilmesi

Year 2007, Volume: 17 Issue: 4, 206 - 211, 01.07.2007

Abstract

Amaç: Kolesteatom cerrahisinde kullanılacak tekniğinseçimini etkileyen faktörler araştırıldı.Hastalar ve Yöntemler: Kolesteatomlu kronik otitis media tanısıyla ameliyat edilen 186 hasta çalışmaya alındı.Bu hastaların 143’üne açık grup A , 43’üne grup B isekapalı teknik cerrahi uygulandı. İki grup medikal faktörler yaş, cinsiyet, işitme kaybı, mastoid havalanma, kolesteatomun ulaştığı yer, komplikasyon ve paramedikal faktörler eğitim seviyesi, hastanın ameliyat sonrası kontroledilebilirliği, sosyal güvencesi ve ameliyatın yapıldığımevsim açısından karşılaştırıldı.Bulgular: İki grup arasında medikal faktörlerden işitmekaybı derecesi, kolesteatomun yeri ve komplikasyonaçısından; paramedikal faktörlerden ise sadece eğitimdüzeyi açısından anlamlı farklılık bulundu p

References

  • Roland PS, Meyerhoff WL. Open-cavity tympanomas- toidectomy. Otolaryngol Clin North Am 1999;32:525-46.
  • House WF, Sheehy JL. Functional restoration in tym- panoplasty. Arch Otolaryngol 1963;78:304-9.
  • Karmarkar S, Bhatia S, Saleh E, DeDonato G, Taibah A, Russo A, et al. Cholesteatoma surgery: the individual- ized technique. Ann Otol Rhinol Laryngol 1995; 104:591-5.
  • Özbilen S. Kronik süpüratif otitis media. In: Çelik O, editör. Kulak Burun Boğaz Hastalıkları ve Baş Boyun cerrahisi. İstanbul: Turgut Yayıncılık; 2002. s. 160-93.
  • Cody DT, McDonald TJ. Mastoidectomy for acquired cholesteatoma: follow-up to 20 years. Laryngoscope 1984;94:1027-30.
  • Smyth GD. Surgical treatment of cholesteatoma: the role of staging in closed operations. Ann Otol Rhinol Laryngol 1988;97:667-9.
  • Ozgirgin ON, Aydin E, Ozçelik T, Ozlüoğlu LN. Factors that affect the outcome of open-technique pro- cedures performed in the treatment of cholesteatoma. Kulak Burun Bogaz Ihtis Derg 2003;10:47-50.
  • Görür K, Ozcan C, Unal M, Vayisoğlu Y. Causes of failure in open cavity mastoidectomy. Kulak Burun Bogaz Ihtis Derg 2002;9:179-83.
  • Hirsch BE, Kamerer DB, Doshi S. Single-stage man- agement of cholesteatoma. Otolaryngol Head Neck Surg 1992;106:351-4.
  • Austin DF. Single-stage surgery for cholesteatoma: an actuarial analysis. Am J Otol 1989;10:419-25.
  • Schuring AG, Lippy WH, Rizer FM, Schuring LT. Staging for cholesteatoma in the child, adolescent, and adult. Ann Otol Rhinol Laryngol 1990;99:256-60.
  • Schloss MD, Terraza O. Cholesteatoma in children. J Otolaryngol 1991;20:43-5.
  • Stern SJ, Fazekas-May M. Cholesteatoma in the pedi- atric population: prognostic indicators for surgical decision making. Laryngoscope 1992;102:1349-52.
  • Hirsch BE, Kamerer DB, Doshi S. Single-stage man- agement of cholesteatoma. Otolaryngol Head Neck Surg 1992;106:351-4.
  • Fageeh NA, Schloss MD, Elahi MM, Tewfik TL, Manoukian JJ. Surgical treatment of cholesteatoma in children. J Otolaryngol 1999;28:309-12.
  • Ueda H, Nakashima T, Nakata S. Surgical strategy for cholesteatoma in children. Auris Nasus Larynx 2001; 28:125-9.
  • Toner JG, Smyth GD. Surgical treatment of cholesteatoma: a comparison of three techniques. Am J Otol 1990;11:247-9.
  • Sheehy JL. Cholesteatoma surgery: canal wall down procedures. Ann Otol Rhinol Laryngol 1988;97:30-5.
  • Lambert PR. Mastoidectomy. In: Cummings CW, Flint PW, Harker LA, Haughey BH, Richardson MA et al, editors. Cummings Otolaryngology - Head and neck surgery, 4th ed. Philadelphia: Elsevier Mosby; 2005. p. 3075-89.
  • Sade J. Surgical planning of the treatment of cholesteatoma and postoperative follow-up. Ann Otol Rhinol Laryngol 2000;109:372-6.
  • Garap JP, Dubey SP. Canal-down mastoidectomy: experience in 81 cases. Otol Neurotol 2001;22:451-6.
There are 21 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Ahmet Kutluhan This is me

Veysel Yurttaş This is me

Zülküf Kaya This is me

Ahmet Ural This is me

Köksal Yuca This is me

Muzaffer Kırış This is me

Publication Date July 1, 2007
Published in Issue Year 2007 Volume: 17 Issue: 4

Cite

APA Kutluhan, A., Yurttaş, V., Kaya, Z., Ural, A., et al. (2007). Kolesteatomlu kronik otitis media tedavisinde cerrahi teknik seçimini etkileyen faktörlerin değerlendirilmesi. The Turkish Journal of Ear Nose and Throat, 17(4), 206-211.
AMA Kutluhan A, Yurttaş V, Kaya Z, Ural A, Yuca K, Kırış M. Kolesteatomlu kronik otitis media tedavisinde cerrahi teknik seçimini etkileyen faktörlerin değerlendirilmesi. Tr-ENT. July 2007;17(4):206-211.
Chicago Kutluhan, Ahmet, Veysel Yurttaş, Zülküf Kaya, Ahmet Ural, Köksal Yuca, and Muzaffer Kırış. “Kolesteatomlu Kronik Otitis Media Tedavisinde Cerrahi Teknik seçimini Etkileyen faktörlerin değerlendirilmesi”. The Turkish Journal of Ear Nose and Throat 17, no. 4 (July 2007): 206-11.
EndNote Kutluhan A, Yurttaş V, Kaya Z, Ural A, Yuca K, Kırış M (July 1, 2007) Kolesteatomlu kronik otitis media tedavisinde cerrahi teknik seçimini etkileyen faktörlerin değerlendirilmesi. The Turkish Journal of Ear Nose and Throat 17 4 206–211.
IEEE A. Kutluhan, V. Yurttaş, Z. Kaya, A. Ural, K. Yuca, and M. Kırış, “Kolesteatomlu kronik otitis media tedavisinde cerrahi teknik seçimini etkileyen faktörlerin değerlendirilmesi”, Tr-ENT, vol. 17, no. 4, pp. 206–211, 2007.
ISNAD Kutluhan, Ahmet et al. “Kolesteatomlu Kronik Otitis Media Tedavisinde Cerrahi Teknik seçimini Etkileyen faktörlerin değerlendirilmesi”. The Turkish Journal of Ear Nose and Throat 17/4 (July 2007), 206-211.
JAMA Kutluhan A, Yurttaş V, Kaya Z, Ural A, Yuca K, Kırış M. Kolesteatomlu kronik otitis media tedavisinde cerrahi teknik seçimini etkileyen faktörlerin değerlendirilmesi. Tr-ENT. 2007;17:206–211.
MLA Kutluhan, Ahmet et al. “Kolesteatomlu Kronik Otitis Media Tedavisinde Cerrahi Teknik seçimini Etkileyen faktörlerin değerlendirilmesi”. The Turkish Journal of Ear Nose and Throat, vol. 17, no. 4, 2007, pp. 206-11.
Vancouver Kutluhan A, Yurttaş V, Kaya Z, Ural A, Yuca K, Kırış M. Kolesteatomlu kronik otitis media tedavisinde cerrahi teknik seçimini etkileyen faktörlerin değerlendirilmesi. Tr-ENT. 2007;17(4):206-11.