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Causes of failure of combined approach tympanoplasty in the treatment of acquired cholesteatomas of the middle ear and the mastoid

Published online by Cambridge University Press:  29 June 2007

T. R. Kapur
T. R. Kapur*
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke-on-Trent, UK.
*
Mr T. R. Kapur, 21 Sutherland Drive Westlands, Newcastle-under-Lyme, Staffs ST5 3ND.
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Abstract

Forty cases of failed combined approach tympanoplasty were analysed. The commonest cause of failure was adhesions between the facial ridge and the tympanic membrane, causing segmental attico-mastoid malaeration in 51.3 per cent of cases followed-up continually. Other causes were, large dermoids, incomplete removal of squamous epithelium, and eustachian tube obstruction. Eustachian tube dysfunction did not appear to be a major cause of failure.

Keywords

Mastoid surgerycomplications
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 8 , August 1995 , pp. 710 - 712
Copyright
Copyright © JLO (1984) Limited 1995

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