Endoscopy-Assisted Ear Surgery for Treatment of Chronic Otitis Media With Cholesteatoma, Adhesion, or Retraction Pockets

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dc.contributor.authorUlku, Cagatay Han
dc.date.accessioned2024-02-23T14:23:29Z
dc.date.available2024-02-23T14:23:29Z
dc.date.issued2017
dc.departmentNEÜen_US
dc.description.abstractThe objective of this study was to analyze the results of endoscopy-assisted ear surgery for the treatment of chronic otitis media with cholesteatoma, adhesion, or retraction pockets. Fifty-one patients who underwent oto-endoscopy-assisted canal wall up tympanomastoid surgery and/or limited anterior atticotomy with tympanoplasty for chronic otitis media with cholesteatoma, adhesion, or retraction pocket from 2006 to 2013 have been included in this study. Eradication of the disease from the middle ear and mastoid air cells was achieved by combination of the oto-microscobic and oto-endoscopic approaches. Second look surgery was performed 18 months later from the initial surgery in selected patients. Age, gender, pre-/postoperative otoscopy findings/audiograms, type of the used prostheses, and follow-up time were obtained from the patient's file. Anatomic integrity rates of the tympanic membrane, the mean gains of air bone gap, on pure-tone audiogram at 4 frequencies and existence of the residual disease were reviewed parameters. Functional evaluation was made in patients with intact tympanic membrane. Of the 51 patients, the ratios of the chronic otitis media with cholesteatoma and isolated adhesive otitis or retraction pocket cases were 74.5% (38/51) and 25.5% (13/51), respectively. Ossicular chain reconstruction was made with PORP in 27 patients and TORP in 20 patients, whereas the ossicular chain was intact in 4 patients. Anatomic integrity rates of the tympanic membrane were 90.2%(46/51). The overall (n = 46) pre-/postoperative mean ABG obtained at 4 frequencies were 28.3 +/- 12.26 and 9.18 +/- 5.68 dB (P<0.0001) respectively. Residual cholesteatoma rate was 10.5% (34/38) for chronic otitis media with cholesteatoma patients. However, there was no recurrence or new cholesteatoma formation in isolated retraction pockets or adhesive otitis patients. Oto-endoscopic eradication of the cholesteatoma or epithelial tissue from hidden area after the all visible cholesteatoma removal by oto-microscope improves the quality of surgery, significantly decreases the frequency of the canal wall-down procedure and posterior tympanotomy requirements with acceptable residual cholesteatoma rates.en_US
dc.identifier.doi10.1097/SCS.0000000000003671
dc.identifier.endpage1020en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue4en_US
dc.identifier.pmid28277483en_US
dc.identifier.scopus2-s2.0-85014609867en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1017en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000003671
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13572
dc.identifier.volume28en_US
dc.identifier.wosWOS:000402750600082en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Craniofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdhesionen_US
dc.subjectCholesteatomaen_US
dc.subjectEndoscopeen_US
dc.subjectRetraction Pocketen_US
dc.titleEndoscopy-Assisted Ear Surgery for Treatment of Chronic Otitis Media With Cholesteatoma, Adhesion, or Retraction Pocketsen_US
dc.typeArticleen_US

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