Abstract
We aimed to investigate the long-term results of anterior atticoantrostomy in adult patients with cholesteatoma. A total of 83 ears in 78 patients were operated on by the anterior atticoantrostomy technique, supported by a periosteal flap, between 1991 and 2002. Cholesteatoma recurred in only 4 ears (4.8%). In the 79 ears without recurrence, re-perforation was observed in 3 ears (3.8%), and retraction pockets developed in the attic of 5 ears (6.3%), 2 of which needed ventilation tubes. Absorption or migration of cartilage grafts was not seen in any of the patients. The mean air-bone gap was 34.8 +/- 13.4 dB and 16.9 +/- 14.7 dB, and the mean high-tone bone conduction was 19.0 +/- 6.2 dB and 21.1 +/- 6.6 dB, in the preoperative and postoperative periods, respectively. In the reconstruction of the posterior canal wall, a cartilage graft supported by a periosteal flap prevents attic retraction and may increase the vascularization of the graft. After anterior atticoantrostomy, the recurrence rate and the probability of leaving residual tissue are low. Therefore, we believe that anterior atticoantrostomy is a relatively safe and effective technique that can be used in the management of cholesteatoma.
References
Aug 1, 1977·The Laryngoscope·M AbramsonB F McCabe
Nov 1, 1992·International Journal of Pediatric Otorhinolaryngology·E Vartiainen, J Nuutinen
Apr 1, 1992·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B E HirschS Doshi
Mar 1, 1991·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J L Sheehy, C Shelton
Jan 1, 1988·The Annals of Otology, Rhinology, and Laryngology·J L Sheehy
May 1, 1986·Biomaterials·D HorákN Trostenyuk
Sep 1, 1974·The Annals of Otology, Rhinology, and Laryngology·P DonaldS S Loevy
Dec 1, 1969·Archives of Otolaryngology·J B Farrior
May 1, 1972·The Laryngoscope·J R Chandler, J Freeman
Apr 1, 1982·The Laryngoscope·J S Brown
Jan 1, 1993·American Journal of Otolaryngology·E Vartiainen
Apr 29, 1998·American Journal of Otolaryngology·R PuxedduP Nicolai
Jul 11, 1998·The Annals of Otology, Rhinology, and Laryngology·J E Veldman, W W Braunius
Jul 17, 1998·The Laryngoscope·E E DodsonP R Lambert
Jul 21, 1998·Clinical Otolaryngology and Allied Sciences·D M East
Dec 16, 1998·The Journal of Laryngology and Otology·S E StangerupF Trabalzini
Jan 29, 2000·The American Journal of Otology·H TakahashiK Funabiki
Jun 8, 2000·International Journal of Pediatric Otorhinolaryngology·D Soldati, A Mudry
Citations
Dec 3, 2009·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·Eckard Gehrking
Jun 24, 2009·International Journal of Pediatric Otorhinolaryngology·T P Nikolopoulos, P Gerbesiotis
Aug 12, 2006·International Journal of Pediatric Otorhinolaryngology·Yavuz UyarHamdi Arbağ
Sep 4, 2015·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·Susen LailachMarcus Neudert
Sep 6, 2012·Audiology & Neuro-otology·Chin-Lung KuoChiang-Feng Lien
May 13, 2009·Clinical and Experimental Otorhinolaryngology·Ji Heui KimJong Woo Chung
Mar 20, 2019·Acta Oto-laryngologica·Ying Xin, Weiming Song
Jun 9, 2010·The Annals of Otology, Rhinology, and Laryngology·Luca Oscar Redaelli de ZinisMaria Grazia Barezzani
Jun 11, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Marcus NeudertThomas Zahnert
Apr 23, 2021·The Journal of Laryngology and Otology·A H A BaazilM J F de Wolf