this study was designed reevaluate the outcome of soft wall reconstruction technique for cwd mastoidectomy and to test the validity of anteriorly–based musculoperiosteal flap attachment without oblitrating the mastoid cavity for increasing graft viability. two methods of reconstruction were used. soft wall reconstruction method as described previously by smith et al, were performed on 35 patien...

OBJECTIVE To compare the incidence and localization of residual cholesteatomas in canal wall down tympanoplasty with soft-wall reconstruction with results with the canal wall down and open tympanoplasty or canal wall up tympanoplasty. DESIGN Retrospective case-series study. SETTING Tertiary care university hospital. PATIENTS Eighty-five patients (85 ears) with fresh extensive cholesteatom...

OBJECTIVE This study was designed to investigate the long-term results using the technique of canal wall up mastoidectomy and reconstruction of the posterior canal wall using bone pâté and auricular cartilage in the treatment of chronic otitis media with cholesteatoma. MATERIALS AND METHODS A retrospective review was performed on 42 patients who underwent canal wall up mastoidectomy and poste...

OBJECTIVE Removing the posterior canal wall or canal wall down mastoidectomy (CWDM) for the management of cholesteatoma remains controversial. We advocate partial removal of the posterior canal wall for complete eradication, followed by canal wall defect reconstruction to restore the normal anatomy and avoid the complications of CWDM. MATERIALS AND METHODS Sixty-four patients with cholesteato...

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...

OBJECTIVE To analyse patients with cholesteatoma undergoing canal wall down mastoidectomy together with ossicular reconstruction with a titanium prosthesis, in order to identify factors associated with hearing outcomes. STUDY DESIGN Retrospective review of 97 cases undergoing single-stage surgical management. METHODS All patients underwent canal wall down mastoidectomy. Kurz titanium ossicu...

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 ...

Introduction: The incidence of cholesteatoma occurring as a result of tympanoplasty is extremely rare. Understanding the cause and preventing its occurrence in the future is the main intention of highlighting this peculiar presentation.   Case Report: A 25-year-old woman presented with progressive hearing loss and blocked sensation in the left ear of one and a half month...