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

Yıl 2007, Cilt: 17 Sayı: 4, 206 - 211, 01.07.2007

Ahmet Kutluhan Veysel Yurttaş Zülküf Kaya Ahmet Ural Köksal Yuca Muzaffer Kırış

Öz

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.

Anahtar Kelimeler

Cholesteatoma/surgery, hearing, mastoid/surgery, otitis media, suppurative, tympanoplasty

Kolesteatomlu kronik otitis media tedavisinde cerrahi teknik seçimini etkileyen faktörlerin değerlendirilmesi

Öz

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

Anahtar Kelimeler

Kolesteatom/cerrahi, işitme, mastoid/cerrahi, otitis media, süppüratif, timpanoplasti

Kaynakça

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