Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-04T19:38:06.618Z Has data issue: false hasContentIssue false
  • English
  • Français

Post-Operative cholesteateatomas and retraction pockets after obliterative surgery in ears without cholesteatoma

Published online by Cambridge University Press:  29 June 2007

K. Ojala ,
M. Sorri ,
P. Sipilä  and
A. Palva
K. Ojala*
Affiliation:
Department of Otolaryngology, University of Oulu, Oulu, Oulu, Finland. (Head: Professor Anti Palva, M.D.)
M. Sorri
Affiliation:
Department of Otolaryngology, University of Oulu, Oulu, Oulu, Finland. (Head: Professor Anti Palva, M.D.)
P. Sipilä
Affiliation:
Department of Otolaryngology, University of Oulu, Oulu, Oulu, Finland. (Head: Professor Anti Palva, M.D.)
A. Palva
Affiliation:
Department of Otolaryngology, University of Oulu, Oulu, Oulu, Finland. (Head: Professor Anti Palva, M.D.)
*
Yliopistonkatu 1–3 E 63, 20110 Turku 11, Finland
Get access Rights & Permissions [Opens in a new window]

Abstract

The frequency of post-operative cholesteatomas, epidermizations and retraction pockets in a series of 343 chronically infected ears (315 patients) without cholesteatoma at primary surgery was evaluated. The ears were operated on radically, exclusively by the Palva method, with removal of the bridge in 248 ears and preservation of it in 95 ears. Musculo-periosteal obliteration and seclusion of the aditus were performed in every case with a Palva flap and with a temporalis muscle-fascia graft. The primary operations took place over the period 1964–1972, and all the ears without cholesteatoma at primary surgery were included; they were followed up annually. The evaluation of this material was carried out in 1976–1979 and the follow-up time was on an average of 8.5 years (5–15 years).

Cholesteatoma was found in six (6/343; 1.7 per cent), epidermization of the tympanum in four (4/343; 1.2 per cent), and retraction pockets without cholesteatoma in six (6/343; 1.7 per cent) of the ears. Preservation or removal of the bridge at operation did not cause any significant difference in the frequency of the post-operative complications mentioned (p > 0 05). Most of the complications were discovered after the first postoperative year.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 96 , Issue 5 , May 1982 , pp. 411 - 416
Copyright
Copyright © JLO (1984) Limited 1982

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

REFERENCES

Austtn, D. F. (1976) The retraction pocket in the treatment of cholesteatoma. Archives of Otolaryngology, 102, 741.CrossRefGoogle Scholar
Gristwood, R. E. (1976) Review: Chronic otitis media with epidermoid cholesteatoma. A discussion of some points of controversy concerning surgical management. Clinical Otolaryngology, 1, 337.CrossRefGoogle ScholarPubMed
Jansen, C. (1977) Evaluation of surgery for cholesteatoma. In: McCabe, B. F., Sadé, J., Abramson, M., (Eds.): I Cholesteatoma. First International Conference, Iowa City, Iowa. Aesculapius Publishing Company, Birmingham, Alabama, p 352.Google Scholar
Ojala, K. (1979) Late results of obliteration operation in chronic otitis media. Thesis. Acta Universitatis Ouluensis, D 47.Google Scholar
Palva, T. (1963) Surgery of chronic ear without cavity. Archives of Otolaryngology, 77, 570.CrossRefGoogle Scholar
Palva, T. (1973) Operative technique in mastoid obliteration. Acta Otolaryngologica (Stockholm), 75, 289.CrossRefGoogle ScholarPubMed
Palva, T., Palva, A. and Kärjä, J. (1967) The chronic ear: operative methods and results. Acta Otolaryngologica (Supplement) (Stockholm), 224, 347.CrossRefGoogle Scholar
Palva, T., Palva, A., and Kärjä, J. (1969) Myringoplasty. Annals of Otology, Rhinology and Laryngology, 78, 1074.CrossRefGoogle ScholarPubMed
Palva, T., Karma, P., and Palva, A. (1977) Cholesteatoma surgery canal wall down and mastoid obliteration. In: McCabe, B. F., Sadé, J., Abramson, M., (Eds.): I Cholesteatoma. First International Conference. Iowa City, Iowa. Aesculapius, Publishing Company, Birmingham, Alabama, p 363.Google ScholarPubMed
Palva, T., Ylikoski, J. and Mäkinen, J. (1978) Use of lyophilized dura in aural surgery. Journal for Oto-Rhino-Laryngology and its Borderlands, 40, 129.Google ScholarPubMed
Sadé, J. (1977) Postoperative cholesteatoma recurrence. In: McCabe, B. F., Sadé, J., Abramson, M., (Eds.): I Cholesteatoma. First International Conference, Iowa City, Iowa. Aesculapius Publishing Company, Birmingham, Alabama, p 348.Google Scholar
Smyth, G. D. L. (1976) Post-operative cholesteatoma in combined approach tympanoplasty. Fifteen ear report on tympanoplasty. Part I. The Journal of Laryngology and Otology, 90, 597.CrossRefGoogle Scholar
Smyth, G. D. L. (1977) Postoperative cholesteatoma. In: McCabe, B. F., Sadé, J., Abramson, M., (Eds.): I Cholesteatoma, First International Conference, Iowa City, Iowa. Aesculapius Publishing Company, Birmingham, Alabama, p 355.Google Scholar
Tumarkin, A. (1961) Pre-epidermosis. The Journal of Laryngology and Otology, 75, 487.CrossRefGoogle ScholarPubMed