Management of Cholesteatoma : Surgical Options for Disease Limited to Middle Ear/Mastoid - 12/11/24

Doi : 10.1016/j.otc.2024.07.024

Keelin Fallon, BA ^a,^b, David Chi, MD ^c, Aaron Remenschneider, MD, MPH ^b,^d,^⁎
^a Department of Otolaryngology–Head and Neck Surgery, UMASS Memorial Medical Center, 55 North Lake Avenue, Worcester, MA 01655, USA
^b Department of Otolaryngology and Communication Enhancement, Boston Children’s Hospital, 333 Longwood Avenue, Boston, MA 02115, USA
^c Department of Otolaryngology-Head and Neck Surgery, UPMC Children’s Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224, USA
^d Department of Otolaryngology–Head and Neck Surgery, Massachusetts Eye and Ear, 243 Charles Street, Boston, MA 02114, USA

^∗Corresponding author. 333 Longwood Avenue, Boston, MA 02115.333 Longwood AvenueBostonMA02115

Résumé

Surgery remains the mainstay of cholesteatoma management. Through advancement in technique and technology, the available surgical approaches have expanded to include not only the traditional procedures, but also endoscopic procedures, canal wall reconstruction procedures, mastoid obliteration, and retrograde mastoidotomy. Selection of management technique will depend on disease characteristics, patient factors, and surgeon preference.

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Keywords : Cholesteatoma, Canal wall down, Canal wall up, Canal wall reconstruction, Endoscopic surgical approach