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[Functional surgery of cholesteatoma. I. Closed techniques].
- Source :
-
Acta otorrinolaringologica espanola [Acta Otorrinolaringol Esp] 1997 Mar; Vol. 48 (2), pp. 115-20. - Publication Year :
- 1997
-
Abstract
- A review was made of 138 ears treated with walled-up canal tympanoplasty for chronic otitis media with cholesteatoma. In 66.7% of the ears, two-stage operations were performed. Cholesteatomas were located in the attic (72.5%), mesotympanum (42.8%), antrum (39.1%), and mastoid (11.6%). The most common lesion of the ossicular chain was incus necrosis (61.6%). Total ossicular replacement prosthesis (TORP) (56.5%), partial ossicular replacement prosthesis (PORP) (21.7%), mastoid cortical bone autograft (13%), and incus autograft (8.7%) were used to reconstruct the ossicular chain. After three years, 56.5% of the operated cars were free of complications. The rest had the following complications: recurrence of cholesteatoma (17.4%), perforation of the neotympanum (12.5%), prosthesis extrusion (9.4%), and episodes of otorrhea (4.2%). The best functional results were obtained with autografts (cortical and incus) and TORP.
- Subjects :
- Adolescent
Adult
Aged
Cholesteatoma complications
Cholesteatoma pathology
Ear, Middle pathology
Ear, Middle surgery
Female
Humans
Male
Mastoid pathology
Middle Aged
Ossicular Prosthesis
Otitis Media complications
Otitis Media surgery
Recurrence
Transplantation, Autologous
Tympanoplasty
Cholesteatoma surgery
Mastoid surgery
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 0001-6519
- Volume :
- 48
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Acta otorrinolaringologica espanola
- Publication Type :
- Academic Journal
- Accession number :
- 9198461