title: [Long-term results of functional surgery for attic cholesteatoma].
abstract: OBJECTIVE
  We evaluated the long-term results of functional surgery for attic cholesteatoma.
  
  
  METHODS
  In this study, we presented the results of 81 patients (42 males 39 females; mean age 34 years; range 8 to 59 years) who underwent functional surgical techniques for attic cholesteatomas between January 1992 and January 1998. All the patients were followed-up for at least five years.
  
  
  RESULTS
  For eradication of attic cholesteatoma, canal wall-down technique tympanoplasty was required in the majority of the patients. After surgery there was a statistically significant hearing improvement in all but four cases. In the postoperative period, residual cholesteatoma and graft perforation were found in five and six patients, respectively. Two patients required revision meatoplasty for problems related with cavity clearance.
  
  
  CONCLUSIONS
  Apart from satisfactory hearing improvement with functional surgery, a successful self-clearance was obtained in mastoid cavities with saucerization and meatoplasty. Canal wall-down tympanoplasty is associated with very low incidences of residual or recurrent cholesteatoma in the majority of patients.
authors.affiliation: Department of Otolaryngology, SSK Izmir Training Hospital, Izmir, Turkey.
authors.forename: Gürol
authors.initials: G
authors.lastname: Gültekin
authors.forename: Levent
authors.initials: L
authors.lastname: Olgun
authors.forename: Tolga
authors.initials: T
authors.lastname: Kandoğan
authors.forename: Sezaver
authors.initials: S
authors.lastname: Alper
authors.forename: Zafer
authors.initials: Z
authors.lastname: Eryilmaz
authors.forename: Uğur
authors.initials: U
authors.lastname: Cerçi
authors.forename: Levent
authors.initials: L
authors.lastname: Aydar
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006320:Hearing Tests; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods; D012720:Severity of Illness Index; D016896:Treatment Outcome