title: Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma.
abstract: 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.
authors.affiliation: Department of Otolaryngology, Medicine Faculty of Başkent University, Ankara, Turkey. ozgirgin@politzersociety.org
authors.forename: O Nuri
authors.initials: ON
authors.lastname: Ozgirgin
authors.forename: Erdinç
authors.initials: E
authors.lastname: Aydin
authors.forename: Tuncay
authors.initials: T
authors.lastname: Ozçelik
authors.forename: Levent Naci
authors.initials: LN
authors.lastname: Ozlüoğlu
mesh_terms: 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