Use of a composite autograft to prevent recurrent cholesteatoma caused by canal wall defects.
Recurrent cholesteatoma following atticotomy or combined-approach tympanoplasty remains a significant problem. The importance of closing defects created by surgery or disease in the posterosuperior bony canal is recognized, and numerous materials and techniques have been advocated. Our experience with a composite autograft of tragal cartilage and perichondrium in 40 ears is presented after 1 to 6 years follow-up. The composite autograft performed satisfactorily in 38 cases. In no case did recurrent cholesteatoma develop at the site of a defect that had been obliterated by the autograft.
D000293:Adolescent; D000328:Adult; D002356:Cartilage / Q000637:transplantation; D002648:Child; D002781:Cholesteatoma / Q000209:etiology / Q000601:surgery*; D004424:Ear Canal / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation; D014182:Transplantation, Autologous