Abstract | OBJECTIVES/HYPOTHESIS: STUDY DESIGN: A retrospective analysis of all cases of cholesteatoma treated with intact canal wall mastoidectomy at a single institution by the senior author over a period of 9 years, for which at least 2 years of follow-up data exist. METHODS: Patient and disease information was collected retrospectively and analyzed. RESULTS: There were 148 patients with 156 affected ears treated and followed for a median of 5.3 years (interquartile range, 3.6-7.4 years). The majority of the operations (144/156, 92%) were staged. Hearing data were available for 150 ears. The overall postoperative mean air-bone gap was ≤ 20 dB in 64% of patients. This was maintained long term in most patients, with 59% of patients still with an air-bone gap ≤ 20 dB at a median follow-up of 5.3 years. The presence of an intact stapes did not affect initial hearing outcomes, but the group with an intact stapes had improved long-term hearing results compared to those without an intact stapes (71% vs. 42% air-bone gap ≤ 20 dB, P < .001). The presence of a malleus handle also led to superior long-term hearing outcomes (72% vs. 48% air-bone gap ≤ 20 dB, P = .005). CONCLUSIONS: Long-term hearing results from intact canal wall mastoidectomy with tympanoplasty are excellent, with the majority of patients maintaining a small air-bone gap long term. The presence of a stapes and/or malleus handle confers improved long-term hearing outcomes.
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Authors | Kevin F Wilson, Nyall R London, Clough Shelton |
Journal | The Laryngoscope
(Laryngoscope)
Vol. 123
Issue 12
Pg. 3168-71
(Dec 2013)
ISSN: 1531-4995 [Electronic] United States |
PMID | 23686395
(Publication Type: Comparative Study, Journal Article)
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Copyright | Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc. |
Topics |
- Adolescent
- Adult
- Aged
- Audiometry
- Child
- Child, Preschool
- Cholesteatoma, Middle Ear
(physiopathology, surgery)
- Female
- Follow-Up Studies
- Hearing
(physiology)
- Humans
- Male
- Mastoid
(surgery)
- Middle Aged
- Retrospective Studies
- Time Factors
- Treatment Outcome
- Tympanoplasty
(methods)
- Young Adult
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