title: [Surgical treatment of cholesteatoma: are wall-down techniques superior to wall-up techniques? A 50-year-old controversy].
abstract: A retrospective study was made of the evolution of our policies in the surgical treatment of cholesteatoma between 1984 and 1993. An evaluation was made of 103 patients operated by one of the authors [mean age 38 +/- 15 years; 60 (58%) men and 43 (42%) women]. The mean follow-up was 34 +/- 31 years. Binary logistical regression was used to analyze our patient series. Two factors that were associated statistically with the wall-down procedure were the degree of ossicular chain damage and the integrity of the posterior wall of the external auditory canal. The frequency of wall-down procedures has increased in our department.
authors.affiliation: Servicio de ORL, Hospital Universitario La Paz, Universidad Autónoma, Madrid.
authors.forename: M P
authors.initials: MP
authors.lastname: Prim Espada
authors.forename: J I
authors.initials: JI
authors.lastname: de Diego Sastre
authors.forename: J
authors.initials: J
authors.lastname: García-Polo Alguacil
authors.forename: A
authors.initials: A
authors.lastname: Moñux Martínez
mesh_terms: D000328:Adult; D018424:Cholesteatoma, Middle Ear / Q000601:surgery*; D004429:Ear Ossicles / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
vernacular_title: Tratamiento quirúrgico del colesteatoma: son las técnicas abiertas superiores a las cerradas? Una controversia de cincuenta años.