Atticotomy with canaloplasty and tympanoplasty for limited epitympanic cholesteatoma.
- Author:
Yi DENG
1
;
Fenli XING
;
Yuanqing WU
;
Ting CHU
;
Rongrong CHEN
;
Ergong CHEN
;
Xianchao FAN
Author Information
1. Department of Otolaryngology, Nanjing Medical University Affiliated Nanjing First Hospital, Nanjing, 210006, China. drdengyi@hotmail.com
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Cholesteatoma;
surgery;
Craniotomy;
Ear, Middle;
surgery;
Female;
Humans;
Male;
Middle Aged;
Treatment Outcome;
Tympanoplasty;
methods;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2012;26(16):727-732
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the surgical results of atticotomy with canalopalsty and tympanoplasty for limited cholesteatoma.
METHOD:Thirty-one cases of limited epitympanic cholesteatoma and retraction pocket received atticotomy. The surgical procedure consisted of eliminating cholesteatoma and pocket, reconstructing lateral epitympanic wall and tympanoplasty with cartilage/perichondrium island flap.
RESULT:The anatomic pattern of external ear canal appeared near normal, and the hearing level improved or remained normal during 2-year follow up except for 2 cases with tympanosclerosis. No epitympanic retraction pocket or cholesteatoma relapsed. 1 case appeared tympanic perforation.
CONCLUSION:Atticotomy, contemporaneous reconstruction of lateral epitympanic wall and tympanoplasty with cartilage/perichondrium, indicated to be a reliable treatment and prevention technique for epitympanic cholesteatoma. It can achieve good morphological and functional results.
