Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-26T19:00:06.822Z Has data issue: false hasContentIssue false
  • English
  • Français

Modified sleeve tympanotomy approach for removal of congenital cholesteatoma

Published online by Cambridge University Press:  11 August 2008

H J Park ,
G H Park ,
J E Shin  and
S O Chang
H J Park*
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University School of Medicine, Seoul, South Korea
G H Park
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University School of Medicine, Seoul, South Korea
J E Shin
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University School of Medicine, Seoul, South Korea
S O Chang
Affiliation:
Seoul National University College of Medicine, Seoul, South Korea
*
Address for correspondence: Dr Hong Ju Park, Assistant Professor, Dept of Otorhinolaryngology-Head and Neck Surgery, Konkuk University School of Medicine, 1 Hwayang-dong Gwangjin-gu, Seoul, South Korea143-914. Fax: 82 2 2030 7749 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We present a technique which we have found useful for the management of congenital cholesteatoma extensively involving the middle ear.

Case report:

A five-year-old boy was presented to our department for management of a white mass on the right tympanic membrane. This congenital cholesteatoma extensively occupied the tympanic cavity. It was removed through an extended tympanotomy approach using our modified sleeve technique. The conventional tympanotomy approach was extended by gently separating the tympanic annulus from its sulcus in a circular manner. The firm attachment of the tympanic membrane at the umbo was not severed, in order to avoid lateralisation of the tympanic membrane.

Conclusion:

Although various operative techniques can be used, our modified sleeve tympanotomy approach provides a similarly sufficient and direct visualisation of the entire middle ear, with, theoretically, no possibility of lateralisation of the tympanic membrane and subsequent conductive hearing loss.

Keywords

Otological Surgical ProceduresCholesteatomaMiddle EarTympanic Membrane
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 12 , December 2008 , pp. 1365 - 1367
Copyright
Copyright © JLO (1984) Limited 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Wehrs, RE. The sleeve autograft in congenital cholesteatoma. Ann Otol Rhinol Laryngol 1983;92:571–6CrossRefGoogle ScholarPubMed
2Levenson, MJ, Parisier, SC, Chute, P, Wenig, S, Juarbe, C. A review of twenty congenital cholesteatomas of the middle ear in children. Otolaryngol Head Neck Surg 1986;94:560–7CrossRefGoogle ScholarPubMed
3Shohet, JA, de Jong, AL. The management of pediatric cholesteatoma. Otolaryngol Clin North Am 2002;35:841–51CrossRefGoogle ScholarPubMed
4McGill, TJ, Rahbar, R. Congenital cholesteatoma. In: Nadol, JB Jr, McKenna, MJ, eds. Surgery of the Ear and Temporal Bone. Philadelphia: Lippincott Williams & Wilkins, 2005:337–44Google Scholar
5Sooy, CD, Sooy, FA. Transcanal management of benign middle ear lesions involving the anterior middle ear cleft. Laryngoscope 1985;95:671–3CrossRefGoogle ScholarPubMed