Endoscopic management of acquired cholesteatoma

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Endoscopic management of acquired cholesteatoma

http://www.ncbi.nlm.nih.gov/pubmed/9303149

This study aimed to describe and evaluate endoscopic technique for treatment of acquired cholesteatoma. This study was a case series. The study was performed in a private otolaryngology practice. Thirty-eight adult patients with acquired cholesteatoma and no previous ear surgery composed the patient population. Thirty-six patients underwent transcanal endoscopic tympanotomy and extended atticotomy with removal of the cholesteatoma sac; the attic defect was reconstructed in 25 patients and was packed open in 11 patients. Two patients underwent traditional postauricular procedures. The main outcome measure was disease-free ears as evident on: 1) clinical examination at 1 year follow-up for 30 patients and at 2 years for 13 patients; and 2) surgical exploration in 6 patients at 2 years. There were no significant complications associated with the 36 endoscopic procedures: 29 of 30 patients were disease free at 1 year, 10 of 13 were disease free on clinical examination at 2 years, and 4 of 6 were disease free on surgical exploration at 2 years. Early results indicate that endoscopic removal of cholesteatoma offers a safe and effective transcanal alternative to postauricular procedures.