Canal wall down versus canal wall up surgeries in the treatment of middle ear cholesteatoma

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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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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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Pediatric cholesteatoma: canal wall window alternative to canal wall down mastoidectomy.

OBJECTIVE A previous pilot series described a hybrid mastoidectomy technique, canal wall window (CWW), which substituted for the canal wall down (CWD) procedure and involved slitting the posterior canal wall. The current, larger series compares the results of the CWW procedure with conventional surgical techniques. STUDY DESIGN Retrospective analysis of 78 pediatric ears. SETTING Academic t...

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Topical application of Mitomycin C in the treatment of granulation tissue after Canal Wall Down mastoidectomy

Introduction: Otorrhea and granulation tissue in Canal Wall Down mastoidectomy (CWD) is the common problem in cholesteatoma removal and leads to many discomfort for both the patient and the physician. The main objective in CWD is creating the dry cavity, so the topical antibiotic and acetic acid in variable saturations are used for this purpose. In this study we evaluate the effectiveness of to...

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The disease recurrence rate after the canal wall up or canal wall down technique in adults.

OBJECTIVES/HYPOTHESIS To review which type of cholesteatoma surgery, canal wall up (CWU) or canal wall down (CWD), provides the lowest risk for residual and/or recurrent disease in adults with primary acquired cholesteatoma. DATA SOURCES PubMed, Embase, CINAHL, the Cochrane Library, Scopus and Web of Science. STUDY DESIGN We selected articles comparing CWU with CWD, reporting on disease rec...

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ژورنال

عنوان ژورنال: TURKISH JOURNAL OF MEDICAL SCIENCES

سال: 2019

ISSN: 1303-6165

DOI: 10.3906/sag-1904-109