Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-24T14:07:26.287Z Has data issue: false hasContentIssue false
  • English
  • Français

Causes of failure of combined approach tympanoplasty in the treatment of acquired cholesteatomas of the middle ear and the mastoid

Published online by Cambridge University Press:  29 June 2007

T. R. Kapur
T. R. Kapur*
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke-on-Trent, UK.
*
Mr T. R. Kapur, 21 Sutherland Drive Westlands, Newcastle-under-Lyme, Staffs ST5 3ND.
Get access Rights & Permissions [Opens in a new window]

Abstract

Forty cases of failed combined approach tympanoplasty were analysed. The commonest cause of failure was adhesions between the facial ridge and the tympanic membrane, causing segmental attico-mastoid malaeration in 51.3 per cent of cases followed-up continually. Other causes were, large dermoids, incomplete removal of squamous epithelium, and eustachian tube obstruction. Eustachian tube dysfunction did not appear to be a major cause of failure.

Keywords

Mastoid surgerycomplications
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 8 , August 1995 , pp. 710 - 712
Copyright
Copyright © JLO (1984) Limited 1995

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

Cody, T. R., McDonald, T. J. (1984) Mastoidectomy for acquired cholesteatoma: follow-up to 20 years. Laryngoscope 94: 1027–1029.CrossRefGoogle ScholarPubMed
Kinney, S. E. (1988) Intact canal wall tympanoplasty with mastoidectomy for cholesteatoma. Long-term follow-up. Laryngoscope 98: 1190–1194.CrossRefGoogle ScholarPubMed
Palva, T. (1993) Cholesteatoma surgery today. Clinical Otolaryngology 18: 245–252.CrossRefGoogle ScholarPubMed
Sade, J. (1987) The treatment of cholesteatoma. American Journal of Otology 8: 524–533.Google ScholarPubMed
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: 1351–1358.CrossRefGoogle ScholarPubMed
Sanna, M., Zini, C., Gamoletti, R., Delogu, P., Russo, A., Scandellari, R., Taibah, A. (1987) The surgical management of childhood cholesteatoma. Journal of Laryngology and Otology 101: 1221–1226.CrossRefGoogle ScholarPubMed
Sanna, M., Zini, C., Gamoletti, R., Delogu, P., Scandellari, R., Russo, A., Taibah, A. (1987b) Prevention of recurrent cholesteatoma in closed tympanoplasty. Annals of Otology, Rhinology and Laryngology 96: 273–275.Google Scholar
Sheehy, J. L., Robinson, J. (1982) Cholesteatoma surgery at the Otologic Medical Group: residual and recurrent disease. American Journal of Otology 3: 209–215.Google ScholarPubMed
Smyth, G. D. L. (1985) Cholesteatoma surgery: the influence of the canal wall. Laryngoscope 95: 92–96.Google Scholar