A study on the efficacy of combined surgery in advanced-stage congenital cholesteatoma with canal-wall-up surgery.

Autor: Kaya E; Department of Otorhinolaryngology, Eskişehir Osmangazi University, Eskişehir, Turkey., Kaya F; Department of Otorhinolaryngology, Yunus Emre State Hospital, Eskişehir, Türkiye. kaya.furkan105@gmail.com., Kaya Mİ; Department of Otorhinolaryngology, Eskişehir Osmangazi University, Eskişehir, Turkey., Çaklı H; Department of Otorhinolaryngology, Eskişehir Osmangazi University, Eskişehir, Turkey., İncesulu ŞA; Department of Otorhinolaryngology, Eskişehir Osmangazi University, Eskişehir, Turkey.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2024 Nov; Vol. 281 (11), pp. 5747-5752. Date of Electronic Publication: 2024 Jul 18.
DOI: 10.1007/s00405-024-08820-9
Abstrakt: Purpose: This study aimed to compare the outcomes of patients with advanced congenital cholesteatoma who underwent microscopic or endoscope-combined Canal Wall Up Tympanomastoidectomy (CWUT) in our clinic and to determine the contribution of endoscope use in reducing recurrence/residual rates.
Methods: In this retrospective study, the data of individuals who underwent microscopic or combined endoscopic surgery between 2008 and 2022 in our clinic were scanned from the database. Demographic data, preoperative computed tomography (CT) findings, preoperative and postoperative hearing results, operation and intraoperative status of the ossicles, duration of surgery, postoperative follow-up period, recurrence and residual disease status during follow-up were investigated.
Results: The data of 37 pediatric cases operated in our clinic were included in the study. All of the included cases were Potsic Stage 4 patients who underwent CWUT. The mean age of the operated individuals was 8.7 years (5-12 years) and the mean follow-up period was 47.3 months (12-112 months). 19 cases were performed microscopically only, 2 recurrences and 5 residuals were detected. 18 cases were performed combined and 1 recurrence and 1 residual was found.
Conclusion: In this study, it was determined that using an endoscope together with a microscope in congenital cholesteatoma cases, decreased the rate of recurrence and residual disease by protecting the external auditory canal in patients with advanced mastoid invasion.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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