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Am J Otol. 1997 Sep;18(5):544-9.

Endoscopic management of acquired cholesteatoma.

Author information

1
Section of Otolaryngology, American Hospital-Dubai, United Arab Emirates.

Abstract

OBJECTIVE:

This study aimed to describe and evaluate endoscopic technique for treatment of acquired cholesteatoma.

STUDY DESIGN:

This study was a case series.

SETTINGS:

The study was performed in a private otolaryngology practice.

PATIENTS:

Thirty-eight adult patients with acquired cholesteatoma and no previous ear surgery composed the patient population.

INTERVENTION:

Thirty-six patients underwent transcanal endoscopic tympanotomy and extended atticotomy with removal of the cholesteatoma sac; the attic defect was reconstructed in 25 patients and was packed open in 11 patients. Two patients underwent traditional postauricular procedures.

MAIN OUTCOME MEASURE:

The main outcome measure was disease-free ears as evident on: 1) clinical examination at 1 year follow-up for 30 patients and at 2 years for 13 patients; and 2) surgical exploration in 6 patients at 2 years.

RESULTS:

There were no significant complications associated with the 36 endoscopic procedures: 29 of 30 patients were disease free at 1 year, 10 of 13 were disease free on clinical examination at 2 years, and 4 of 6 were disease free on surgical exploration at 2 years.

CONCLUSIONS:

Early results indicate that endoscopic removal of cholesteatoma offers a safe and effective transcanal alternative to postauricular procedures.

PMID:
9303149
[Indexed for MEDLINE]

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