Surgical Treatment of Retraction Pocket with Bone Pate: Scutum Plasty for Cholesteatoma

2005 ◽  
Vol 133 (4) ◽  
pp. 625-628 ◽  
Author(s):  
Yasuyuki Hinohira ◽  
Naoaki Yanagihara ◽  
Kiyofumi Gyo
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Study Design ◽  
Middle Ear ◽  
Critical Issue ◽  
Disease Recurrence ◽  
Retraction Pocket ◽  
Second Stage ◽  
Middle Ear Cholesteatoma ◽  
Pocket Formation

OBJECTIVES: Postoperative attic retraction pocket is a critical issue and may be indicative of disease recurrence after canal-up tympanoplasty for middle ear cholesteatoma. Although scutum plasty is an acceptable procedure that can be used to prevent the pocket formation, how the scutum is reconstructed has remained controversial. The aim of this study was to clarify the value of scutum plasty using bone pate. STUDY DESIGN: Retrospective study. SETTING: Bone pate scutum plasty was performed in 69 ears during first-stage operations. We attempted to reconstruct a smooth attic bony wall. At the time of the second-stage operations, the results of the scutum plasty were examined. RESULTS: The incidence of retraction pocket was statistically reduced from 20.2% to 5.8%. CONCLUSION: Although the reconstructed scutum showed atrophy to some extent, bone pate scutum plasty is effective in preventing postoperative retraction pocket if a smoothly shaped attic wall can be reconstructed.

scholarly journals Preoperative Diagnosis and Treatment of Middle Ear Adenoma: A Case Report and Literature Review

2021 ◽  
pp. 014556132110002
Author(s):  
Aleksander Zwierz ◽  
Krystyna Masna ◽  
Paweł Burduk
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Middle Ear ◽  
Surgical Procedures ◽  
Preoperative Diagnosis ◽  
Proper Treatment ◽  
Second Stage ◽  
Middle Ear Adenoma ◽  
Histopathological Results

Most reported cases of middle ear adenoma (MEA) have focused on histopathology because MEA is usually diagnosed postoperatively, which is considered as a major setback. We focused on the surgical aspect of the disease to facilitate a preoperative diagnosis, resulting in prompt and proper treatment, without requiring a second stage of surgical treatment. In this report, we present the differential diagnoses in a 40-year-old man with MEA requiring surgical treatment. Preoperatively, the patient was suspected to have an MEA. An analysis of the surgical procedures in similar misdiagnosed tumors has enabled us to assess surgical procedures in cases wherein the preoperative diagnosis does not coincide with the postoperative histopathological results.

scholarly journals Recurrence of Cholesteatoma - A Retrospective Study Including 1,006 Patients for More than 33 Years

2019 ◽  
Vol 24 (01) ◽  
pp. e18-e23 ◽  
Author(s):  
Patrick Rønde Møller ◽  
Christina Nygaard Pedersen ◽  
Line R. Grosfjeld ◽  
Christian E. Faber ◽  
Bjarki D. Djurhuus
Keyword(s):  
Middle Ear ◽  
Total Sample ◽  
Observation Time ◽  
Benign Tumors ◽  
Retraction Pocket ◽  
Risk Of Recurrence ◽  
Middle Ear Cholesteatoma ◽  
Total Observation Time ◽  
Total Observation ◽  
First Time

Abstract Introduction Cholesteatomas are benign tumors consisting of skin, and growing inside a retraction pocket in the tympanic membrane. Cholesteatomas can occupy the entirety of the middle ear, and are known for their osteolytic capabilities. Surgery is the only curative treatment for cholesteatomas. Objective To describe the risk of recurrence after first-time surgically-treated middle-ear cholesteatoma (STMEC1) on the island of Funen from 1983 to 2015. Methods Cases of STMEC1 were identified in the Danish National Hospital Register. The medical records were reviewed. Time-to-event analyses were applied. The ears were followed from STMEC1 to a secondary cholesteatoma, emigration, death, or end of follow-up. Results Records from 1,006 patients with STMEC1 were reviewed. A total of 54 patients were submitted to surgery on both ears. The total sample consisted of 1,060 ears with STMEC1; 300 were children's (< 16 years) ears, and 760 were adult's ears. The total observation time was of 12,049 years.The overall estimated proportion with recurrence 5 years after surgery was of 37% in children and of 15% in adults. The older the child was at the first surgery, the risk decreased by 7% per year. In children, canal wall up (CWU) mastoidectomy without obliteration was associated with a hazard ratio for recurrence of 1.9 (95% confidence interval [95%CI]: 1.2–3.0) compared with CWU with obliteration. Conclusion Compared with adults, children were had 2.6 times more risk of recurrence. Procedures performed without mastoidectomy had the lowest risk of recurrence. In children, obliteration was associated with a significantly lower risk of recurrence. However, patients were not randomized regarding the surgical approach; thus, the association between approach and risk of recurrence was likely influenced by confounding factors.

Surgical Treatment of Middle Ear Cholesteatoma in Children with Down Syndrome

2005 ◽  
Vol 26 (5) ◽  
pp. 1007-1010 ◽  
Author(s):  
Andrea Bacciu ◽  
Enrico Pasanisi ◽  
Vincenzo Vincenti ◽  
Davide Giordano ◽  
Antonio Caruso ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Surgical Treatment ◽  
Middle Ear ◽  
Children With Down Syndrome ◽  
Middle Ear Cholesteatoma

A retrospective study on post-operative hearing of middle ear cholesteatoma patients with labyrinthine fistula

2015 ◽  
Vol 136 (1) ◽  
pp. 8-11 ◽  
Author(s):  
Yue Bo ◽  
Yang Yang ◽  
Chen Xiaodong ◽  
Wang Xi ◽  
Tian Keyong ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Middle Ear ◽  
Labyrinthine Fistula ◽  
Middle Ear Cholesteatoma

Insertion of middle-ear Silastic sheeting during tympanoplasty: hearing outcomes

2010 ◽  
Vol 125 (5) ◽  
pp. 445-448 ◽  
Author(s):  
S M Elmorsy ◽  
H E Amer
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Chronic Inflammation ◽  
Middle Ear ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
One Year ◽  
Operative Findings ◽  
Hearing Outcomes ◽  
Air Conduction

AbstractObjective:To study the effect of Silastic®sheeting placed in the middle ear during tympanoplasty, including the effect on hearing.Design:Retrospective study.Background:Chronic inflammation of the middle ear is common. Surgical treatment sometimes results in middle-ear adhesions and hearing deterioration.Materials and methods:We selected 106 patients with chronic otitis media, middle-ear adhesions and intact ossicles, based on intra-operative findings. These patients underwent single-stage tympanoplasty either with or without insertion of Silastic sheeting. Audiometry was undertaken pre-operatively and one and 12 months post-operatively.Results:Patients who had undergone Silastic sheet insertion showed significantly better air conduction, bone conduction and air–bone gap averages one year post-operatively, compared with those who had not.

scholarly journals Classification and Stages of Middle Ear Cholesteatoma at the Southern Philippines Medical Center Using the European Academy of Otology and Neurotology / Japan Otological Society (EAONO / JOS) System

2021 ◽  
Vol 36 (1) ◽  
pp. 24
Author(s):  
Dominador Toral ◽  
Chris Robinson Laganao
Keyword(s):  
Middle Ear ◽  
Medical Center ◽  
Case Series ◽  
Stage Iv ◽  
Surgical Approaches ◽  
Middle Ear Surgery ◽  
Retraction Pocket ◽  
European Academy ◽  
Subperiosteal Abscess ◽  
Middle Ear Cholesteatoma

ABSTRACT Objective: To determine the stage of middle ear cholesteatoma of patients who underwent middle ear surgery at the Southern Philippines Medical Center from January to December 2019, based on European Academy of Otology and Neurotology / Japan Otological Society (EAONO/ JOS) system. Methods: Design: Case Series Setting: Tertiary Government Hospital Participants: A total of 42 charts were included in the study   Results: Of the 42 cases evaluated, congenital cholesteatoma was seen in 4 while acquired cholesteatoma was noted in 38, (further subdivided into 34 retraction pocket cholesteatoma and 4 non-retraction pocket/traumatic cholesteatoma). A majority (57%) had Stage II cholesteatoma (mass occupying at least two sub-sites in the middle ear) at the time of surgery. Eight (19%) had stage I cholesteatoma (confined to one sub-site), five (12%) had stage III cholesteatoma evidenced by extracranial complications such as subperiosteal abscess and erosion of the semi[1]circular canals. Stage IV cholesteatoma was seen in 5 (12%) presenting with intracranial abscess. Canal wall down mastoidectomy was the most common surgical approach performed. The sinus tympani (S2 ) was the most commonly involved difficult to access site across all classifications of middle ear cholesteatoma (60%). Conclusion: Our study provided an initial profile of the stages and severity of middle ear cholesteatoma in our institution based on actual surgical approaches. Such a profile can be the nidus for a database that can help us to understand disease prevalence and compare local surgical practices with those in the international community.

Histological Staging and Dupuytren’s Disease Recurrence or Extension after Surgical Treatment: A Retrospective Study of 124 Patients

2009 ◽  
Vol 34 (4) ◽  
pp. 493-496 ◽  
Author(s):  
T. BALAGUER ◽  
S. DAVID ◽  
T. IHRAI ◽  
N. CARDOT ◽  
G. DAIDERI ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Reliable Method ◽  
Disease Recurrence ◽  
High Rate ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Significant Difference ◽  
Caucasian Patients ◽  
Histological Staging

Dupuytren’s disease has a high rate of recurrence after treatment. In this study we have assessed the usefulness of histological staging in the prediction of recurrence. We have also verified whether there is a correlation between histological staging and features of Dupuytren’s diathesis. We studied 139 hands in 124 Caucasian patients treated between 1997 and 2004. There was a significant difference in the recurrence rate between the three histological types ( P = 0.04). Histological staging was independent of features of Dupuytren’s diathesis. This study confirms that histological staging is a reliable method for predicting recurrence. However, it should be used in association with clinical data to determine precisely the prognosis of patients suffering from Dupuytren’s contracture.

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