PMID: 15224822Jul 1, 2004Paper

Malleus removal and total cartilage reinforcement in intact canal wall tympanoplasty for cholesteatoma

The Annals of Otology, Rhinology, and Laryngology
Christian MartinJ M Prades

Abstract

This study analyzes the morphological and hearing results obtained from intact canal wall cholesteatoma surgery by removing the malleus, reinforcing the whole tympanic membrane with cartilage, and performing an ossiculoplasty with a hydroxyapatite prosthesis. The results were compared to those obtained in intact canal wall cholesteatoma surgery by preserving the malleus manubrium, partially reinforcing the tympanic membrane with cartilage, and predominantly using an ossicle to perform the ossiculoplasty. One- or two-stage intact canal wall procedures were performed in 390 adult patients (416 ears) who had a nonoperated middle ear cholesteatoma. Recurrent and residual cholesteatoma rates were evaluated. Hearing results were analyzed according to the Committee on Hearing and Equilibrium Guidelines of the American Academy of Otolaryngology-Head and Neck Surgery. There was a statistically significant decrease in the recurrence rate in patients who had total cartilage reinforcement of the tympanic membrane versus patients who had partial tympanic membrane cartilage reinforcement. This technique using a hydroxyapatite prosthesis for ossiculoplasty gave good hearing results.

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Citations

Sep 18, 2014·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·A RouxA Robier
Jul 24, 2012·European Annals of Otorhinolaryngology, Head and Neck Diseases·C MartinC Richard
Jan 10, 2012·European Annals of Otorhinolaryngology, Head and Neck Diseases·L GaillardinA Robier
Jul 15, 2006·Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Société d'oto-laryngologie des hôpitaux de Paris·A MarcollaD Dehesdin
Jul 29, 2008·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yoshitaka Shimizu, Richard L Goode
Nov 25, 2017·The Annals of Otology, Rhinology, and Laryngology·Scott ShapiroAdam Cassis
May 28, 2015·The Laryngoscope·Robert K JacklerNikolas H Blevins
Jun 9, 2010·The Annals of Otology, Rhinology, and Laryngology·Luca Oscar Redaelli de ZinisMaria Grazia Barezzani
Sep 17, 2015·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Allan RouxEric Truy
May 31, 2021·European Annals of Otorhinolaryngology, Head and Neck Diseases·C MaquetJ-P Marie

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