کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4110304 | 1605742 | 2012 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Residual cholesteatoma: Prevalence and location. Follow-up strategy in adults Residual cholesteatoma: Prevalence and location. Follow-up strategy in adults](/preview/png/4110304.png)
SummaryObjectivesTo assess prevalence and location of residual cholesteatoma following closed “canal wall up” tympanoplasty (CWUT). The evolution of follow-up strategy is discussed.Patients and methodsA retrospective study was run in adults operated on by CWUT for middle-ear cholesteatoma and who had undergone second look surgery and/or postoperative radiology (CT-scan, diffusion-weighted MRI).ResultsOne hundred and nine patients (113 ears) underwent the procedure. Mean follow-up was 48 months (range, 24–96 months). Twenty-nine residual cholesteatomas were found (25%), including 11 located in the anterior attic (38%). Follow-up included 77 second look operations (70%), and 71 radiological examinations (62 CT-scans and nine diffusion-weighted MRIs). Second look surgery was without benefit for the patient (no residual, no ossiculoplasty) in one third of cases.ConclusionResidual cholesteatoma in the anterior attic is a problem in CWUT. When postoperative auditory results are good, second look surgery should not be systematic but guided by high quality imaging.
Journal: European Annals of Otorhinolaryngology, Head and Neck Diseases - Volume 129, Issue 3, June 2012, Pages 136–140