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  • Title: [Atticotomy with canaloplasty and tympanoplasty for limited epitympanic cholesteatoma].
    Author: Deng Y, Xing F, Wu Y, Chu T, Chen R, Chen E, Fan X.
    Journal: Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi; 2012 Aug; 26(16):727-8, 732. PubMed ID: 23213749.
    Abstract:
    OBJECTIVE: To observe the surgical results of atticotomy with canalopalsty and tympanoplasty for limited cholesteatoma. METHOD: Thirty-one cases of limited epitympanic cholesteatoma and retraction pocket received atticotomy. The surgical procedure consisted of eliminating cholesteatoma and pocket, reconstructing lateral epitympanic wall and tympanoplasty with cartilage/perichondrium island flap. RESULT: The anatomic pattern of external ear canal appeared near normal, and the hearing level improved or remained normal during 2-year follow up except for 2 cases with tympanosclerosis. No epitympanic retraction pocket or cholesteatoma relapsed. 1 case appeared tympanic perforation. CONCLUSION: Atticotomy, contemporaneous reconstruction of lateral epitympanic wall and tympanoplasty with cartilage/perichondrium, indicated to be a reliable treatment and prevention technique for epitympanic cholesteatoma. It can achieve good morphological and functional results.
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