Abstract | OBJECTIVES: METHODS: 150 single procedures and 30 revision surgeries realized between 1992 and 1997 were analysed by studying anatomical and functional results with a mean follow-up of 24 months. RESULTS: Among the 150 adult patients, 85 (57%) were previously operated on in other centres and presented a recurrence of cholesteatoma. Closed technique was performed in 110 cases (61%) and opened one in the remaining cases (41%). Ossiculoplasty was made in 101 cases (56%) with different materials (15 incus autografts, 14 teflon prosthesis, 35 hydroxyapatite (HA) composite prosthesis and 37 all in HA prosthesis): 91 cases in a one-stage procedure but 10 worse functional results required a closed revision procedure. Twenty cases were also revised after one year of follow up at least: six recurrences of cholesteatoma were operated on by using canal down mastoidectomy (4%), 14 limited residual cholesteatomas (9.3%) had a revision closed technique procedure. CT Scan followed up all the patients operated on by a closed technique. Postoperative air-bone gap (ABG) was 20 +/- 11.3 dB and 27 +/- 10.1 dB in closed and opened techniques, respectively (p < 0.05). ABG was 20 +/- 9.2 dB and 26 +/- 13 dB in type II and type III tympanoplasty, respectively (p < 0.05). CONCLUSION: If the tympanic and posterior cavities are reasonably safe, middle ear cholesteatoma in adults can be well cured by a one-stage procedure including ossicular chain reconstruction with hydroxylapatite prosthesis covered with cartilage graft who achieved a valuable hearing restoration.
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Authors | E Rondini-Gilli, I Mosnier, N Julien, J M Gouin, P Aïdan, P Rufat, O Sterkers |
Journal | Revue de laryngologie - otologie - rhinologie
(Rev Laryngol Otol Rhinol (Bord))
Vol. 122
Issue 2
Pg. 75-9
( 2001)
ISSN: 0035-1334 [Print] France |
Vernacular Title | Chirurgie en un temps du cholestéatome de l'oreille moyenne chez l'adulte: à propos de 180 cas. |
PMID | 11715264
(Publication Type: Comparative Study, English Abstract, Journal Article)
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Chemical References |
- Biocompatible Materials
- Polytetrafluoroethylene
- Durapatite
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Topics |
- Adult
- Biocompatible Materials
- Cholesteatoma, Middle Ear
(surgery)
- Durapatite
- Female
- Follow-Up Studies
- Hearing
- Humans
- Incus
(transplantation)
- Male
- Middle Aged
- Ossicular Prosthesis
- Polytetrafluoroethylene
- Recurrence
- Reoperation
- Retrospective Studies
- Time Factors
- Tympanoplasty
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