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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.

Single Stage Canal Wall Down Mastoidectomy with Reconstruction of the Canal Wall: 5 Years’ Experience in Fayoum Province, Egypt