Anterior Atticoantrostomy for Cholesteatoma Surgery
Yükleniyor...
Dosyalar
Tarih
2006
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Sage Publications Inc
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objectives: We aimed to investigate the long-term results of anterior atticoantrostomy in adult patients with cholesteatoma. Methods: A total of 83 ears in 78 patients were operated on by the anterior atticoantrostomy technique, supported by a periosteal flap, between 1991 and 2002. Results: Cholesteatoma recurred in only 4 ears (4.8%). In the 79 ears without recurrence, re-perforation was observed in 3 ears (3.8%), and retraction pockets developed in the attic of 5 ears (6.3%), 2 of which needed ventilation tubes. Absorption or migration of cartilage grafts was not seen in any of the patients. The mean air-bone gap was 34.8 +/- 13.4 dB and 16.9 +/- 14.7 dB, and the mean high-tone bone conduction was 19.0 +/- 6.2 dB and 21.1 +/- 6.6 dB, in the preoperative and postoperative periods, respectively. Conclusions: In the reconstruction of the posterior canal wall, a cartilage graft supported by a periosteal flap prevents attic retraction and may increase the vascularization of the graft. After anterior atticoantrostomy, the recurrence rate and the probability of leaving residual tissue are low. Therefore, we believe that anterior atticoantrostomy is a relatively safe and effective technique that can be used in the management of cholesteatoma.
Açıklama
Anahtar Kelimeler
Anterior atticoantrostomy, Cholesteatoma, Perforation, Periosteal flap, Retraction
Kaynak
Annals of Otology Rhinology and Laryngology
WoS Q Değeri
Q2
Scopus Q Değeri
Q1
Cilt
115
Sayı
2
Künye
Uyar, Y., Öztürk, K., Keleş, B., Arbağ, H., Ülkü, Ç. H., (2006). Anterior Atticoantrostomy for Cholesteatoma Surgery. Annals of Otology Rhinology and Laryngology, 115(2), 150-155. Doi: 10.1177/000348940611500212
