Pediatric Cholesteatoma Surgery Using a Single-Staged Canal Wall Down Approach

2015 ◽  
Vol 36 (1) ◽  
pp. 82-85 ◽  
Author(s):  
Aaron Trinidade ◽  
Andrew Skingsley ◽  
Matthew W. Yung
Keyword(s):  
Canal Wall ◽  
Canal Wall Down ◽  
Pediatric Cholesteatoma ◽  
Cholesteatoma Surgery

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.

Pediatric Cholesteatoma: An Individualized, Single-Stage Approach

1996 ◽  
Vol 115 (1) ◽  
pp. 107-114 ◽  
Author(s):  
Simon C. Parisier ◽  
Matthew B. Hanson ◽  
Jin C. Han ◽  
Adam J. Cohen ◽  
Bryan A. Selkin
Keyword(s):  
Hearing Loss ◽  
Facial Nerve ◽  
Nerve Injury ◽  
Single Stage ◽  
Canal Wall ◽  
Facial Nerve Injury ◽  
Related Disease ◽  
One Stage ◽  
Canal Wall Down ◽  
Pediatric Cholesteatoma

We report our experience with a one-stage surgery for pediatric cholesteatoma in 216 ears. Our technique is based on three main principles: (1) the surgery is individualized; (2) the goal of surgery is to completely remove cholesteatoma and related disease in one operation; and (3) the reconstruction is performed to provide both good hearing and a dry, trouble-free ear. The incidence of recidivism was 10.2%, and the rate achieved was 13.3% at 5 years and 24% at 10 years. Canal wall down surgery was the predominant procedure used. The incidence of intraoperative neurosensory hearing loss, vertigo, and facial nerve injury was extremely low. The postoperative cavity problems encountered were minimal.

Pediatric Cholesteatoma: Canal Wall Window Alternative to Canal Wall Down Mastoidectomy

2005 ◽  
Vol 26 (3) ◽  
pp. 466-471 ◽  
Author(s):  
Ricardo A Godinho ◽  
Syed H Kamil ◽  
Jose N Lubianca ◽  
Ivan J Keogh ◽  
Roland D Eavey
Keyword(s):  
Canal Wall ◽  
Canal Wall Down ◽  
Canal Wall Down Mastoidectomy ◽  
Pediatric Cholesteatoma

Cholesteatoma Surgery with the Canal-Wall-Down Technique

ORL ◽  
1996 ◽  
Vol 58 (1) ◽  
pp. 39-41 ◽  
Author(s):  
Carsten Wennmo ◽  
Hannes Petersen ◽  
Knut Flisberg
Keyword(s):  
Canal Wall ◽  
Canal Wall Down ◽  
Cholesteatoma Surgery

scholarly journals Cholesteatoma surgery by open technique with reconstruction together with same session ossiculoplasty

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Mohammed Saad Hasaballah ◽  
Peter Milad ◽  
Ossama Mustafa Mady ◽  
Ahmed Abdelmoneim Teaima
Keyword(s):  
Complete Removal ◽  
Mastoid Cavity ◽  
Canal Wall ◽  
Open Technique ◽  
Viable Option ◽  
Effective Option ◽  
Canal Wall Down ◽  
Canal Wall Down Mastoidectomy ◽  
Cavity Obliteration ◽  
Cholesteatoma Surgery

Abstract Background This study was designed to evaluate the effect of mastoid cavity obliteration with bone chips and reconstruction of canal wall with tragal cartilage after canal wall down tympanomastoidectomy with cartilage ossiculoplasty in the same session. Sixty-three patients with cholesteatoma underwent the technique mentioned above; patients were followed for 1 year postoperative. Results No cavity problems, median preoperative air bone gap was 32.86 ± 6.24 db, while the median postoperative air bone gap was 21.67 ± 5.99 db. Conclusions Canal wall down mastoidectomy with obliteration of mastoid cavity is an effective option for the complete removal of cholesteatoma and same session cartilage ossiculoplasty is a viable option.

Canal wall-down mastoidectomy with mastoid obliteration for pediatric cholesteatoma

2009 ◽  
pp. 1-4
Author(s):  
Jiaqiang Sun ◽  
Jingwu Sun ◽  
Yanming Hu ◽  
Qiuping Lv ◽  
Yinfeng Wang ◽  
...  
Keyword(s):  
Canal Wall ◽  
Mastoid Obliteration ◽  
Canal Wall Down ◽  
Canal Wall Down Mastoidectomy ◽  
Pediatric Cholesteatoma

Cholesteatoma Surgery: Canal Wall down Procedures

1988 ◽  
Vol 97 (1) ◽  
pp. 30-35 ◽  
Author(s):  
James L. Sheehv
Keyword(s):  
Canal Wall ◽  
Labyrinthine Fistula ◽  
Canal Wall Down ◽  
Cholesteatoma Surgery

We prefer the intact canal wall technique for tympanoplasty with mastoidectomy, but use a canal wall down procedure in up to 25 % of oases. Creating a round cavity with a large meatus is imperative if one is to obtain a trouble-free ear. The five types of canal wall down procedures are defined, as are our indications for using them. Results in 19 only hearing ears and 19 labyrinthine fistula cases are presented, along with 64 tympanoplasty cases.

Canal wall down mastoidectomy with obliteration versus canal wall up mastoidectomy in primary cholesteatoma surgery

2019 ◽  
Vol 133 (12) ◽  
pp. 1074-1078 ◽  
Author(s):  
M D Wilkie ◽  
D Chudek ◽  
C J Webb ◽  
A Panarese ◽  
G Banhegyi
Keyword(s):  
Discharge Rate ◽  
Recidivism Rate ◽  
Canal Wall ◽  
Chi Square ◽  
Mastoid Obliteration ◽  
Recidivism Rates ◽  
Canal Wall Down ◽  
Canal Wall Down Mastoidectomy ◽  
Canal Wall Up ◽  
Cholesteatoma Surgery

AbstractObjectiveThis study sought to compare disease recidivism rates between canal wall up mastoidectomy and a canal wall down with obliteration technique.MethodsPatients undergoing primary cholesteatoma surgery at our institution over a five-year period (2013–2017) using the aforementioned techniques were eligible for inclusion in the study. Rates of discharge and disease recidivism were analysed using chi-square statistics.ResultsA total of 104 ears (98 patients) were included. The mean follow-up period was 30 months (range, 12–52 months). A canal wall down with mastoid obliteration technique was performed in 55 cases and a canal wall up approach was performed in 49 cases. Disease recidivism rates were 7.3 per cent and 16.3 per cent in the canal wall down with mastoid obliteration and canal wall up groups respectively (p = 0.02), whilst discharge rates were similar (7.3 per cent and 10.2 per cent respectively).ConclusionOur direct comparative data suggest that canal wall down mastoidectomy with obliteration is superior to a canal wall up technique in primary cholesteatoma surgery, providing a lower recidivism rate combined with a low post-operative ear discharge rate.

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