Scutum reconstruction technique and classification in endoscopic middle ear cholesteatoma surgery
| Autor: | Kun Hou, Zhaohui Hou, Nan Wu, Wenjing Zuo, Shiming Yang, Fangyuan Wang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Endoscopic surgery 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications Hearing Recurrence otorhinolaryngologic diseases Medicine Middle Ear Cholesteatoma Humans Prospective Studies 030223 otorhinolaryngology Child Aged medicine.diagnostic_test Cholesteatoma Middle Ear business.industry Cartilage Canal wall up food and beverages Endoscopy General Medicine Middle Aged Plastic Surgery Procedures Surgery medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Female sense organs business Ear Canal |
| Zdroj: | Acta oto-laryngologica. 140(11) |
| ISSN: | 1651-2251 |
| Popis: | Endoscopy has been increasingly used in middle ear cholesteatoma surgery. It can increase the proportion of canal wall up (CWU) surgery and effectively control the recurrence and residual rates. However, there is a lack of systematic description on scutum reconstruction technique in endoscopic middle ear cholesteatoma surgery.The technique and classification of scutum reconstruction in endoscopic cholesteatoma surgery were proposed, and the outcomes were preliminarily evaluated.According to the development of mastoid and the way of hearing reconstruction, the reconstruction of scutum was classified into three types. The rates of residual and recurrence and hearing outcomes were observed and analyzed.A total of 57 patients underwent endoscopic cholesteatoma surgery, all of which were CWU surgery. The reconstruction of the scutum was performed using tragal cartilage according to three types. The residual of cholesteatoma was observed in three cases. The recurrence of cholesteatoma and retraction pocket was detected in two cases and five cases, respectively. Postoperative hearing results were generally satisfied in all three types of surgeries.The technique of scutum reconstruction in endoscopic cholesteatoma surgery in this work can effectively control the recurrent disease after CWU surgery. |
| Databáze: | OpenAIRE |
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