Surgical Treatment Outcomes in 66 Cases of Middle Ear Cholesteatoma in Xinjiang
AyihengQukuerhan
WEI Guiling
YONG Jun
FENG Juan
Abstract：Objective Report outcomes of surgical treatment for middle ear cholesteatoma operations in Xinjiang. Methods Sixty cases of middle ear cholesteatoma treated with canal wall up or canal wall down mastoidectomy with or without tympanoplasty were followed up, and treatment outcomes including achievement of dry ear, complications, recurrence and hearing improvement were reported. Results Nineteen cases received canal wall up mastoidectomy and 47 cases received ca?nal wall down mastoidectomy. Recurrence occurred in 2 cases (3.03%) receiving canal wall up mastoidectomy, which led to re?vision canal wall down mastoidectomy. All the other cases achieved a dry ear. For cases receiving canal wall up mastoidecto?my, hearing improved more than 25 dB in 16 ears (24.24%) and 15 dB in 7 ears (10.61%);while for those receiving canal wall down mastoidectomy, only 2 ears (3.03%) achieved hearing improvement of more than 1 5dB (p<0.001). Conclusion With proper indications and adequate techniques, canal wall up mastoidectomy should be the treatment of choice, as it saves ana?tomical structures of the middle ear and mastoid and yields improved hearing outcomes. For cases with extensive lesions and no possibilities of tympanoplasty, canal wall down mastoidectomy should be performed.
Keywords：Middle ear cholesteatomaMastoidotympanectomyTympanoplastyComplications
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 593-596 )