Endoscopic management of cholesteatoma

IL-WOO Lee
2016 Journal of Laryngology and Otology  
inflammatory condition of their middle ear. In all cases, after complete eradication of the pathology, mastoid cavity was obliterated with abdominal fat followed by double layered external auditory canal obliteration with special cosmetic concern. Surgical outcomes of this procedure were analyzed. Results: Middle ear inflammation and cholesteatoma were completely managed with this surgical technique. None of the patients showed the inflammatory symptoms of otorrhea or other early inflammatory
more » ... mplication after the surgery. Cochlear implant was successfully placed and active electrodes were fully inserted in all of the 10 patients. Only one patient showed the delayed extrusion of the ball electrode to the obliterated ear canal which was successfully managed by replacement of extruded ball electrode with conchal cartilage reinforcement under local anesthesia. Postoperative quality of life during the medical interview revealed the highly satisfied status of subtotal petrosectomy from both disease eradication and cosmetic viewpoints. Conclusion: Subtotal petrosectomy seems to be very safe, effective and even cosmetically acceptable procedure for the deafened patients with chronic otitis media whether accompanying cochlear implantation is planned or not. Learning Objectives: Objective: These days surgery rates for early cholesteatoma and residual or recurrent cholesteatoma are increasing. For this matter, Prof. Keehyun Park suggested a surgical technique called 'atticosinoplasty' to mediate early cholesteatoma. Thus, we analyzed the adequacy and applicability of atticosinoplasty as a treatment for early cholesteatoma comparing with other surgical techniques.
doi:10.1017/s0022215116004606 fatcat:otsfer4kxfegpdinr4qow36bje