Canal wall down approach for tympano-mastoid cholesteatoma: long-term results and prognostic factors

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Ceravital reconstruction of canal wall down mastoidectomy: long-term results.

OBJECTIVE To describe long-term outcomes of external auditory canal wall reconstruction using bioactive glass ceramic (Ceravital) after canal wall down mastoidectomy. DESIGN Retrospective review of a case series over a 21-year period, with a mean +/- SD follow-up of 13.1 +/- 6.7 years (range, 0.2-20.5 years). SETTING Private otologic practice. PATIENTS The study population comprised 20 co...

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Comparing the Incidence of Residual Cholesteatoma Using two Canal Wall Down and Endoscopic-assisted Intact Canal Wall Tympanomastoidectomy Methods

Background: For many years, Canal Wall Down (CWD) tympanomastoidectomy has been the gold standard for treatment of cholesteatoma; however, this method has long-term complications for the patients. The Intact Canal Wall (ICW) tympanomastoidectomy has relatively lower complications, but access to the middle-ear recesses is difficult in this method. Therefore, endoscopy is used to visualize the un...

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The pros and cons of canal wall up versus canal wall down mastoidectomy for cholesteatoma

Introduction It is widely accepted that cholesteatoma almost invariably requires surgical management. There has been ongoing debate regarding the optimal technique since intact canal wall or canal wall up (CWU) mastoidectomy was developed in the decade following the widespread introduction of the operating microscope in 1953. At the time of the national comparative audit of mastoid surgery over...

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Endoscopic transcanal modified canal-wall-down mastoidectomy for cholesteatoma

Attic cholesteatoma with antral extension in tight sclerotic mastoid cavities is a common presentation that creates difficult decision-making intraoperatively. Drilling through a sclerotic and small mastoid cavity, keeping the canal wall intactis often difficult and increases the risk of serious injury. Consequently, a canal-wall-down mastoidectomy is often performed. The endoscopic transcanal ...

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Cochlear Implantation in Canal Wall Down Mastoid Cavities.

Cochlear implantation in canal wall down mastoid (CWD) cavities is fraught with the issue of how best to manage the mastoid cavity. Decision points include whether the external auditory meatus should be overclosed, whether the implantation should be staged, or even if the eustachian tube should be plugged. Given these options, we sought to describe our experience of cochlear implantation in CWD...

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ژورنال

عنوان ژورنال: Acta Otorhinolaryngologica Italica

سال: 2019

ISSN: 1827-675X

DOI: 10.14639/0392-100x-2237