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Factors associated with recurrence of cholesteatoma

Published online by Cambridge University Press:  29 June 2007

Eero Vartiainen*
Affiliation:
Department of Otolaryngology, University of Kuopio, Kuopio, Finland.
*
Dr Eero Vartiainen, Department of Otolaryngology, University Hospital of Kuopio, FIN-70210 Kuopio, Finland. Fax: 358-71-172509

Abstract

After a mean follow-up period of 7.3 years, a recurrence was found in 43 (12.3 percent) out of 349 consecutive patients undergoing surgical treatment for acquired cholesteatoma. The great majority of residual cholesteatomas detected in the ‘second-look’ operations arose from the oval window area.Chronic otorrhoea and a reperforation were the most common signs of late recurrences. In eight ears a recurrent cholesteatoma developed from a retraction pocket. The recurrence rate was higher in children than in adults. The type of surgical technique had no significant effect on recurrence rate. Recurrences were more frequent in pre-operatively discharging ears than in dry ears. Some suggestions have been made to improve the results of surgery for cholesteatoma.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1995

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