Role of ossiculoplasty in canal wall down tympanoplasty for middle-ear cholesteatoma: hearing results

2006 ◽  
Vol 121 (4) ◽  
pp. 324-328 ◽  
Author(s):  
E De Corso ◽  
M R Marchese ◽  
B Sergi ◽  
M Rigante ◽  
G Paludetti
Keyword(s):  
Middle Ear ◽  
Bone Conduction ◽  
Consecutive Series ◽  
Canal Wall ◽  
Hearing Results ◽  
Middle Ear Cholesteatoma ◽  
Canal Wall Down ◽  
The Mean ◽  
Air Conduction ◽  
Cholesteatoma Surgery

The aim of this study was to evaluate the hearing results of ossiculoplasty in canal wall down tympanoplasty in one stage middle-ear cholesteatoma surgery.We carried out a retrospective review of a consecutive series of 142 cases which had undergone type two or three canal wall down tympanoplasty with ossicular reconstruction, between January 1995 and December 2002, due to chronic otitis media with cholesteatoma.Pre-operative audiometric testing revealed a mean air conduction pure tone average (PTA) of 50.97 dB and a mean bone conduction PTA of 22.14 dB. The mean post-operative result for air conduction PTA was 37.62 and for bone conduction PTA was 23.37 dB. The mean pre- and post-operative air–bone gaps (ABGs) were 28.83 and 13.94 dB, respectively, with a gain of 14.89 dB. Almost 62.67 per cent of patients closed their ABGs to within 20 dB.Our functional results are comparable with those of other authors. In the present study, we show that hearing improvement is possible following cholesteatoma surgery with canal wall down tympanoplasty and ossicular chain reconstruction.

scholarly journals Non-microscopic Middle Ear Cholesteatoma Surgery

2019 ◽  
Vol 40 (6) ◽  
pp. 777-781 ◽  
Author(s):  
Ryosei Minoda ◽  
Toru Miwa
Keyword(s):  
Middle Ear ◽  
Middle Ear Cholesteatoma ◽  
Cholesteatoma Surgery

Scutum reconstruction technique and classification in endoscopic middle ear cholesteatoma surgery

2020 ◽  
Vol 140 (11) ◽  
pp. 904-908
Author(s):  
Nan Wu ◽  
Wenjing Zuo ◽  
Fangyuan Wang ◽  
Kun Hou ◽  
Shiming Yang ◽  
...  
Keyword(s):  
Middle Ear ◽  
Reconstruction Technique ◽  
Middle Ear Cholesteatoma ◽  
Cholesteatoma Surgery

scholarly journals Patterns of middle-ear cholesteatoma and implications for surgical approach

2020 ◽  
Vol 134 (2) ◽  
pp. 116-120 ◽  
Author(s):  
Y Yu ◽  
J See ◽  
J H Ng ◽  
D Low ◽  
T Y Tan ◽  
...  
Keyword(s):  
Middle Ear ◽  
Surgical Approach ◽  
Staging System ◽  
Radiological Findings ◽  
Tertiary Institution ◽  
Facial Recess ◽  
Middle Ear Cholesteatoma ◽  
Optimal Approach ◽  
Cholesteatoma Surgery ◽  
Mastoid Antrum

AbstractObjectivesUnderstanding the pattern of middle-ear cholesteatoma becomes pertinent with the rise of endoscopic surgery as surgeons decide on the optimal approach to visualise and extirpate disease. With modifications to the Telmesani attic–tympanum–mastoid staging system, this study aimed to evaluate the commonest patterns of middle-ear cholesteatoma and their implications for surgical approach.MethodsA retrospective study was conducted in a single tertiary institution in Singapore. All patients undergoing cholesteatoma surgery between January 2012 and June 2015 were included. Staging of cholesteatoma was based on clinical assessment corroborated by radiological findings.ResultsOut of the 55 ears included, 98.2 per cent had cholesteatoma involving the attic. The disease extended into the mastoid antrum and beyond in 43 cases (78.2 per cent). The facial recess and/or sinus tympanum was affected in 26 cases (47.3 per cent).ConclusionThe majority of cholesteatoma cases present with extensive attic disease and significant mastoid involvement. In these cases, endoscopes may be best suited to adjunctive rather than exclusive use in surgery.

scholarly journals Correlation between peri-operative complication in middle ear cholesteatoma surgery using STAMCO, ChOLE, and SAMEO-ATO classifications

2021 ◽  
Author(s):  
Tommaso Cacco ◽  
Stefano Africano ◽  
Gilda Gaglio ◽  
Luca Carmisciano ◽  
Enrico Piccirillo ◽  
...  
Keyword(s):  
Middle Ear ◽  
Ossicular Chain ◽  
Male Gender ◽  
The Other ◽  
Care Centre ◽  
Health Care Centre ◽  
Increased Risk ◽  
Middle Ear Cholesteatoma ◽  
The Relationship ◽  
Cholesteatoma Surgery

Abstract Purpose To compare the relationship between the variable “complication” and the other variables of middle ear cholesteatoma classifications (STAMCO, ChOLE, and SAMEO-ATO). Methods Retrospective study of 110 patients that underwent 132 middle ear surgeries between the 1 January 2012 and the 31 December 2019 for chronic otitis with cholesteatoma classified according to STAMCO, ChOLE, and SAMEO-ATO classifications in a tertiary health care centre. Results Older age, male gender, STAMCO-T, and SAMEO-ATO [O1, T, O2, (s -)] and mastoid involvement (STAMCO-M and ChOLE-Ch) were associated with an increased risk of complication report. Conclusions In our series, statistical analysis pointed out a relationship between surgical complications and age, gender, site, mastoidectomy type, and ossicular chain status at surgery. The choice of variables to be recorded for cholesteatoma staging should be carefully balanced, considering that “complication” variable could be a repetitive item.

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