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Complications associated with the surgical treatment of cholesteatoma
Author(s) -
Pratt Lindsay L.
Publication year - 1983
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198302000-00008
Subject(s) - cholesteatoma , medicine , mastoidectomy , middle ear , surgery , incidence (geometry) , audiology , physics , optics
The surgical complications associated with a cholesteatoma are predictable preoperatively depending upon the location of a cholesteatoma. If the patient has as attic cholesteatoma the surgeon can anticipate postoperatively a dry ear, minimal chance of persistent or recurrent cholesteatoma, satisfactory hearing restoration, and, although a mastoidectomy is usually necessary, the size of the mastoid cavity in an adult can be extremely small. If a patient has a middle ear cholesteatoma the surgeon can anticipate postoperatively a relatively high incidence of moist ears, persistent or recurrent cholesteatoma, and an unsatisfactory hearing result. However, seldom will the creation of a mastoid cavity be necessary as rarely will mastoidectomy be required. Although most of the children before puberty in the study had middle ear cholesteatomas, all children — regardless of the location of cholesteatoma — had a higher incidence of surgical failure than did the adults.