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The antrum exclusion technique in cholesteatoma surgery

Published online by Cambridge University Press:  29 June 2007

P. López Villarejo*
Affiliation:
Córdoba, Spain
E. Cantillo Baños
Affiliation:
Córdoba, Spain
Jurado Ramos
Affiliation:
Córdoba, Spain
*
Dr Pedro López Villarejo, Hospital Regional ≪Reina Sofia≫Servicio ORL, Avda Menendez Pidal, s/n, 14012 Cordoba, Spain.

Abstract

A new surgical technique for the treatment of cholesteatoma is reported. The technique involvesautoexclusion for exteriorization of the attic and tympanic box only. The resulting cavity is rather small.

The technique allows visual post-operative control of the attic and tympanic membrane. There isno visual access to the mastoid cavity which, however, is the most unlikely site for occurrenceof a residual cholesteatoma.

The proposed technique was applied to 102 patients and both the anatomic and functional resultsobtained are reported.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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References

Cole, J. M., Reamus, C. L. (1983) Tympanomastoidectomy. A 25-year experience. Annals of Otology, Rhinology and Laryngology, 92: 577581.CrossRefGoogle ScholarPubMed
Fisch, U. (1986) Technique of open cavity in cholesteatoma surgery. Inpharzam Medical Forum, 9: 3538.Google Scholar
Heermann, J. (1978) Auricular cartilage–palisade tympano–epitympano–antrum and mastoid plasties. Clinical Otolaryngology, 3: 443446.CrossRefGoogle ScholarPubMed
Hough, J. (1983) The canal wall up or down debate. Journal of Laryngology and Otology, Supplement 8: 9294.Google ScholarPubMed
Jansen, C. (1983) The combined approach for tympanoplasty. Journal of Laryngology and Otology, Supplement 8: 9091.Google ScholarPubMed
Kohut, R. I. (1980) Cholesteatoma: the advantages of modified radical mastoidectomy. In Snow, J. B. Controversy in Otolaryngology. First edn.W. B. Saunders, Philadelphia, pp. 223227.Google Scholar
Lopez-Villarejo, P., Jurado Ramos, A. (1986) Nuestra conducta actual en la cirugía del colesteatoma. Anales de Otorrinolaringologĺa Iberoamericana XIII, 4: 329.Google Scholar
Olaizola, F., Andrade, T., Valencia, H., Alminos, D. (1982) Timpanoplastia. Fracasos. Nuestra orientatíon qúinirgica actual. Acta Otorrinolaringólogica Española, 33: 866.Google Scholar
Olaizola, F., Rodriguez Nunez, J. A., Alaminos, D., Andrade, T., Mendoza, I. (1983) Resultados de la cirugia otorreica a la demanda con reparación ósea. Acta Otorrinolaringológica Española, 34: 627.Google Scholar
Palva, T. (1963) Surgery of chronic ear without cavity. Archives of Otolaryngology, 77: 570580.CrossRefGoogle Scholar
Paparella, M. M., Jung, T. T. K. (1983) Intact bridge tympanomastoidectomy (IBM) combining essential features of open vs. closed procedures. Journal of Laryngology and Otology, 97: 579585.CrossRefGoogle ScholarPubMed
Portmann, M. (1985) The choice of techniques for the surgery of chronic otitis media with cholesteatoma. Journal of Laryngology and Otology, 99: 533537.CrossRefGoogle ScholarPubMed
Sade, J. (1982) Treatment of retraction pockets and cholesteatoma. Journal of Laryngology and Otology, 94: 685704.CrossRefGoogle Scholar
Sade, J., Berco, E., Fuchs, C. (1986) Results of preservation of the posterior canal wall in cholesteatoma surgery as related to middle ear aeration. Journal of Laryngology and Otology, 100: 13511358.CrossRefGoogle ScholarPubMed
Sade, J., Weimberg, J., Berco, E., Bronwn, M., Havely, A. (1986) Prognosis of the open mastoid cavity. Impharzam Medical Forum, 9: 914.Google Scholar
Smyth, G. D. L. (1982) Tympanomastoid disease. In Otology (Gibb, A. G., Smyth, M. F. W., eds.). First edn.Butterworths: London, pp. 318.Google ScholarPubMed
Smyth, G. D. L. (1986) Open cavity surgery for cholesteatoma. lnpharzam Medical Forum, 9: 3134.Google Scholar
Tos, M. (1982) Modification of combined approach tympanoplasty in attic cholesteatoma. Archives of Otolaryngology, 108: 772778.CrossRefGoogle ScholarPubMed
Tos, M., Lau, T. (1986) Revision tympanoplasty. Journal of Laryngology and Otology, 100: 10971105.CrossRefGoogle ScholarPubMed
Wigand, M. E. (1978) Tympanoplasty with preservation of the bone bridge for cholesteatoma surgery. Clinical Otolaryngology, 3: 415419.CrossRefGoogle Scholar
Wullstein, S. R. (1974) Osteoplastic epitympanotomy. Annals of Otology, Rhinology and Laryngology, 83: 663.CrossRefGoogle ScholarPubMed