1.Atticotomy with canaloplasty and tympanoplasty for limited epitympanic cholesteatoma.
Yi DENG ; Fenli XING ; Yuanqing WU ; Ting CHU ; Rongrong CHEN ; Ergong CHEN ; Xianchao FAN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2012;26(16):727-732
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.
Adolescent
;
Adult
;
Cholesteatoma
;
surgery
;
Craniotomy
;
Ear, Middle
;
surgery
;
Female
;
Humans
;
Male
;
Middle Aged
;
Treatment Outcome
;
Tympanoplasty
;
methods
;
Young Adult