[Application of facial recess approach in intact-bridge tympanomastoidectomy].
OBJECTIVE
To introduce and evaluate the application of facial recess approach in modified intact-bridge tympanomastoidectomy (IBM) procedures for cholesteatoma otitis media and improve the surgery results and living quality of patients following the operation of tympanomastoidectomy.


METHODS
Sixty-five cases of tympanomastoidectomy for cholesteatoma otitis media followed for more than 3 years between 2000 - 2003 were retrospective analyzed. The long-term results of recurrence and hearing level of IBM were discussed.


RESULTS
In total sixty-five ears received modified IBM, there were sixty ears improved hearing level (threshold improved > 10 dB), and the pure-tone average threshold improved by (18.5 +/- 7.3) dB after operation and the dry ear was obtained in 60 cases (95%).


CONCLUSIONS
With the modified IBM technique, cholesteatoma could be completely and safely removed from the middle ear, and a durable reconstruction of the middle ear with reasonable hearing could be achieved. Therefore, the modified IBM technique was a reasonable choice for the surgical treatment of cholesteatoma otitis media.
Tang
Yong
Y
Center of Otorhinolaryngology, Chinese People's Liberation Army, Navy General Hospital, Beijing, China.
Sun
Jian-jun
JJ
Liu
Yang
Y
Lin
Yong-sheng
YS
D000293:Adolescent; D000328:Adult; D000368:Aged; D018424:Cholesteatoma, Middle Ear / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010033:Otitis Media / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014433:Tympanoplasty / Q000379:methods*; D055815:Young Adult