Intact canal wall mastoidectomy and tympanoplasty in treating patients with cholesteatoma of the middle ear and mastoid.
- Author:
Ying HE
1
;
Yong LIANG
;
Xiaolong LIU
;
Gang LI
;
Ying HU
Author Information
1. Department of Otorhinolaryngology, Nanfang Hospital of Nanfang Medical University, Guangzhou, 510515, China. ying-h@tom.com
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Child;
Cholesteatoma, Middle Ear;
surgery;
Female;
Humans;
Male;
Mastoid;
surgery;
Middle Aged;
Tympanoplasty;
methods;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2008;22(16):740-741
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the value of intact canal wall mastoidectomy and tympanoplasty in treating patients with cholesteatoma of the middle ear and mastoid.
METHOD:Fifty-seven patients underwent intact canal wall mastoidectomy and tympanoplasty.
RESULT:In all cases who had been followed up for 1-8 years, 5 ears were infected, 2 patients needed second operation, and 3 ears suffered from cholesteatoma recurrence. Tympanic membrane of 29 ears kept integrity although with pocket retraction to some extent. Extrusion of the prosthesis occurred in 2 cases. The postoperative audiometric measurement (the average hearing threshold at 0.5, 1.0, 2.0 kHz HL) was improved by more than 10 dB HL in 39 ears (72.2%), the mean air bone gap (ABG) of 29 ears was reduced to less than 20 dB HL.
CONCLUSION:Intact canal wall technique could remain anatomical structure and improve hearing effectually in treating the patients with cholesteatoma in the middle ear and mastoid.
