Endoscopic-Assisted Canal Wall-up Tympanomastoidectomy for Reduction of Residual Cholesteatoma
| Autor: | Mauricio Noschang Lopes Silva, Fábio André Selaimen, Felipe da Costa Huve, Fernanda Dias Toshiaki Koga, Luciana Lima Martins-Costa, João Augusto Polesi Bergamaschi, Alice Lang Silva, Sady Selaimen da Costa |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | International Archives of Otorhinolaryngology, Vol 26, Iss 02, Pp e260-e264 (2022) |
| Druh dokumentu: | article |
| ISSN: | 1809-9777 1809-4864 |
| DOI: | 10.1055/s-0041-1730455 |
| Popis: | 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 and manipulate 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 cholesteatoma matrix. 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 |
| Databáze: | Directory of Open Access Journals |
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