Canal wall up tympanoplasty for middle ear cholesteatoma in adults: Modeling cartilage - 27/04/12
, E. Lescanne a, b, S. Morinière a, b, A. Robier a, b
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Summary |
Objectives |
The authors report their experience with a variant cartilage tympanoplasty technique in a canal wall up (CWU) procedure for middle ear cholesteatoma, comparing reliability with other techniques. Functional results are analyzed according to ossicular chain status.
Materials and methods |
A retrospective study was performed in adults operated on with CWU tympanoplasty for middle ear cholesteatoma. The surgical technique of “modeling” cartilage is described.
Results |
One hundred and nine patients were included (113 procedures). There were four recurrences (3.5%). Mean follow-up was 48 months (range, 24–96 months). In case of normal ossicular chain, postoperative pure-tone average air-bone gap was always less than 20dB, and less than 20dB following myringostapedopexy in 60% of cases with incus destruction.
Conclusion |
Modeling cartilage is a reliable reconstruction technique to prevent recurrent cholesteatoma, and contributes to the quality of functional results in ossiculoplasty.
Le texte complet de cet article est disponible en PDF.Keywords : Cholesteatoma, Middle ear, Modeling cartilage, Recurrence, Ossiculoplasty
Plan
Vol 129 - N° 2
P. 82-86 - avril 2012 Retour au numéro
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