Factors associated with recurrence of cholesteatoma.
After a mean follow-up period of 7.3 years, a recurrence was found in 43 (12.3 per cent) out of 349 consecutive patients undergoing surgical treatment for acquired cholesteatoma. The great majority of residual cholesteatomas detected in the 'second-look' operations arose from the oval window area. Chronic otorrhoea and a reperforation were the most common signs of late recurrences. In eight ears a recurrent cholesteatoma developed from a retraction pocket. The recurrence rate was higher in children than in adults. The type of surgical technique had no significant effect on recurrence rate. Recurrences were more frequent in pre-operatively discharging ears than in dry ears. Some suggestions have been made to improve the results of surgery for cholesteatoma.
Vartiainen
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Department of Otolaryngology, University of Kuopio, Finland.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D018424:Cholesteatoma, Middle Ear / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008416:Mastoid / Q000601:surgery*; D008875:Middle Aged; D010035:Otitis Media, Suppurative / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation