Abstract |
From 1978 to 1993, 59 patients (60 ears) with congenital middle ear cholesteatoma were treated at the House Ear Clinic. The median patient age at presentation was 5 years, and the period of postoperative follow-up was 4.8 years. An intact canal wall was maintained in 58 of 60 cases and a closed middle ear space in all cases. In 12 operations, lateral graft tympanoplasty eradicated the cholesteatoma in one stage; 32 patients required a second-stage surgery to rule out recurrence, and the remaining 16 cases required three or more operations to eradicate disease and reconstruct the hearing mechanism. Thirty-five (63%) of 56 patients had a postoperative air-conduction threshold pure-tone average (PTA) within 10 dB of the best bone-conduction PTA; 91% were within 20 dB. Average speech reception threshold improved from 32 dB hearing level (HL) preoperatively to 20 dB HL postoperatively.
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Authors | K J Doyle, W M Luxford |
Journal | The Laryngoscope
(Laryngoscope)
Vol. 105
Issue 3 Pt 1
Pg. 263-7
(Mar 1995)
ISSN: 0023-852X [Print] United States |
PMID | 7877414
(Publication Type: Journal Article)
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Topics |
- Child
- Cholesteatoma, Middle Ear
(congenital, physiopathology, surgery)
- Female
- Follow-Up Studies
- Humans
- Male
- Mastoid
(surgery)
- Reoperation
- Retrospective Studies
- Speech Reception Threshold Test
- Time Factors
- Treatment Outcome
- Tympanoplasty
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