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  • Title: Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma.
    Author: Ozgirgin ON, Aydin E, Ozçelik T, Ozlüoğlu LN.
    Journal: Kulak Burun Bogaz Ihtis Derg; 2003 Feb; 10(2):47-50. PubMed ID: 12717056.
    Abstract:
    OBJECTIVES: We evaluated the factors that have considerable significance on the outcome of open cavity procedures in the treatment of cholesteatoma. PATIENTS AND METHODS: The study included 66 patients (43 males, 23 females; mean age 47 years; range 21 to 69 years) who underwent surgery for cholesteatoma. Of these, 56 patients completed at least a five-year follow-up. RESULTS: Mucosal infections and granulation tissue formation occurred in seven patients (10%) in the early postoperative period. Retraction pockets developed in three patients (4%); of these, only one patient required excision because of deep localization. Drum perforations that occurred in two patients (3%) were repaired by myringoplasty. Revision surgery was performed in four patients (7.1%) due to residual cholesteatoma within a five-year follow-up. CONCLUSION: The height of the facial ridge was found as the most important factor related to a successful outcome of open-technique procedures. Other factors included the creation of a smooth mastoid cavity with round edges, removal of all diseased mastoid cells, and an extensive conchameatoplasty.
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