Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-15T19:24:20.475Z Has data issue: false hasContentIssue false
  • English
  • Français

Tips and tricks in Open Tympanoplasties

Presenting Author: Enrico Piccirillo

Published online by Cambridge University Press:  03 June 2016

Enrico Piccirillo ,
Melissa Laus ,
Annalisa Giannuzzi  and
Mario Sanna
Enrico Piccirillo
Affiliation:
Gruppo Otologico
Melissa Laus
Affiliation:
Gruppo Otologico
Annalisa Giannuzzi
Affiliation:
Gruppo Otologico
Mario Sanna
Affiliation:
Gruppo Otologico
Rights & Permissions [Opens in a new window]

Abstract

An abstract is not available for this content. As you have access to this content, full HTML content is provided on this page. A PDF of this content is also available in through the ‘Save PDF’ action button.
Type
Abstracts
Information
The Journal of Laryngology & Otology , Volume 130 , Supplement S3: Abstracts for the 10th International Conference on Cholesteatoma , May 2016 , pp. S6
Copyright
Copyright © JLO (1984) Limited 2016 

Learning Objectives: To evaluate the outcomes of open tympanoplasties (canal wall down mastoidectomies) for cholesteatomas.

Study Design: Retrospective study.

Setting: Gruppo Otologico, a quarternary referral center for Otology and Skull Base Surgery in Italy.

Methods: 1324 cases with a minimum of 2-years follow-up that were operated for middle ear and mastoid cholesteatoma using the open technique were included in the study. The outcomes of were analyzed and the results were compared with a literature review.

Results: The mean follow up was 46.43 months. The mean pre-operative air bone gap was 37 ± 7 dB. Simultaneous ossicular reconstruction was performed in 32% of the cases. A second stage reconstruction was perfomed in 42% of the cases. Recurrent cholesteatomas were seen in 6% of cases in our series. 1% patients developed stenosis of the meatoplasty. Postoperative ear discharge was observed in 4% cases.

Conclusion: The open (canal wall down) technique is a tried and tested procedure in recurrent and large cholesteatoma with considerable pre-operative hearing loss.