PMID: 16514799Mar 7, 2006Paper

Anterior atticoantrostomy for cholesteatoma surgery

The Annals of Otology, Rhinology, and Laryngology
Yavuz UyarCağatay Han Ulkü

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.

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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
May 13, 2009·Clinical and Experimental Otorhinolaryngology·Ji Heui KimJong Woo Chung
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

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