[Exposure of the facial recess through the ear canal. Value in posterosuperior retraction pockets (initial results)].
19 patients had surgery for progressive [17] and/or symptomatic [2] posterior attic retraction pockets involving the facial recess. Exposition of the suprapyramidal region was obtained after endaural incision by thinning the posterior wall of the ear canal and removing the posterior-superior portion of the tympanic sulcus. This technique is less complicated than intact canal wall tympanoplasty with mastoidectomy. Yet gives similar functional results. After a mean follow-up of 20.3 months, we have observed no residual cholesteatoma and no recurrent retraction pockets. Unlike posterior tympanoplasty, this technique makes it possible to meticulously remove the osteitic bone invariably found in the facial recess when there is infection of the retraction pocket.
Candau
P
P
Service ORL, Hôpital Saint Joseph, Paris.
Elbez
M
M
Coupez
D
D
D000293:Adolescent; D000328:Adult; D001299:Audiometry; D002648:Child; D002781:Cholesteatoma / Q000601:surgery*; D004427:Ear Diseases / Q000150:complications / Q000601:surgery*; D005260:Female; D006311:Hearing Disorders / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery; D008875:Middle Aged; D008876:Middle Ear Ventilation; D012008:Recurrence; D014432:Tympanic Membrane / Q000473:pathology; D014433:Tympanoplasty / Q000379:methods*
Mise à plat du recessus facial par voie du conduit. Intérêt dans les poches de rétraction tympaniques postéro-supérieures (résultats préliminaires).