Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma.
OBJECTIVE
We evaluated the factors that have considerable significance on the outcome of open cavity procedures in the treatment of cholesteatoma.


METHODS
The study included 66 patients (43 males, 23 females; mean age 47 years; range 21 to 69 years) who underwent surgery for cholesteatoma. Of these, 56 patients completed at least a five-year follow-up.


RESULTS
Mucosal infections and granulation tissue formation occurred in seven patients (10%) in the early postoperative period. Retraction pockets developed in three patients (4%); of these, only one patient required excision because of deep localization. Drum perforations that occurred in two patients (3%) were repaired by myringoplasty. Revision surgery was performed in four patients (7.1%) due to residual cholesteatoma within a five-year follow-up.


CONCLUSIONS
The height of the facial ridge was found as the most important factor related to a successful outcome of open-technique procedures. Other factors included the creation of a smooth mastoid cavity with round edges, removal of all diseased mastoid cells, and an extensive conchameatoplasty.
Ozgirgin
O Nuri
ON
Department of Otolaryngology, Medicine Faculty of Başkent University, Ankara, Turkey. ozgirgin@politzersociety.org
Aydin
Erdinç
E
Ozçelik
Tuncay
T
Ozlüoğlu
Levent Naci
LN
D000328:Adult; D000368:Aged; D018424:Cholesteatoma, Middle Ear / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery*; D008875:Middle Aged; D010034:Otitis Media with Effusion / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation; D016896:Treatment Outcome