[Long-term results of functional surgery for attic cholesteatoma].
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.
Gültekin
Gürol
G
Department of Otolaryngology, SSK Izmir Training Hospital, Izmir, Turkey.
Olgun
Levent
L
Kandoğan
Tolga
T
Alper
Sezaver
S
Eryilmaz
Zafer
Z
Cerçi
Uğur
U
Aydar
Levent
L
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