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- Title
Endoscopic-Assisted Canal Wall-up Tympanomastoidectomy for Reduction of Residual Cholesteatoma.
- Authors
Lopes Silva, Mauricio Noschang; André Selaimen, Fábio; da Costa Huve, Felipe; Toshiaki Koga, Fernanda Dias; Lima Martins-Costa, Luciana; Polesi Bergamaschi, João Augusto; Lang Silva, Alice; Selaimen da Costa, Sady
- Abstract
Introduction The treatment of cholesteatoma is generally surgical, and the major obstacle is the high prevalence of recidivism. The endoscopic ear surgery technique is proposed to minimize this problem. Objectives To utilize endoscopes to visualize andmanipulate cholesteatoma residues after microscopic removal Methods Cross-sectional study. Thirty-two patients with cholesteatoma underwent microscopic wall-up mastoidectomy combined with the endoscopic approach. The subjects were assessed for the presence and location of covert disease. Results Of the 32 cases, 17 (53.12%) had residual cholesteatoma in the endoscopic phase. Minimal disease was found, usually fragments of the cholesteatomamatrix. Pars tensa cholesteatomas had more covert disease than pars flaccida cholesteatomas (62.50% vs 43.75%). Posterior recesses (47.05%) and tegmen tympani (41.17%) were the locations with more covert disease (p<0.05). Conclusion Cholesteatomas of the pars tensa presented more residual disease and were significantly more common in the posterior recesses and tegmen tympani.
- Subjects
MASTOIDECTOMY; CHOLESTEATOMA; ENDOSCOPIC surgery; OPERATIVE surgery; ENDOSCOPES; CROSS-sectional method
- Publication
International Archives of Otorhinolaryngology, 2022, Vol 26, Issue 2, p260
- ISSN
1809-9777
- Publication type
Article
- DOI
10.1055/s-0041-1730455