| Residual cholesteatoma: Prevalence and location. Follow-up strategy in adults. | |
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MedLine Citation:
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PMID: 21955464 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVES: To assess prevalence and location of residual cholesteatoma following closed "canal wall up" tympanoplasty (CWUT). The evolution of follow-up strategy is discussed. PATIENTS AND METHODS: A retrospective study was run in adults operated on by CWUT for middle-ear cholesteatoma and who had undergone second look surgery and/or postoperative radiology (CT-scan, diffusion-weighted MRI). RESULTS: One hundred and nine patients (113 ears) underwent the procedure. Mean follow-up was 48months (range, 24-96months). Twenty-nine residual cholesteatomas were found (25%), including 11 located in the anterior attic (38%). Follow-up included 77 second look operations (70%), and 71 radiological examinations (62 CT-scans and nine diffusion-weighted MRIs). Second look surgery was without benefit for the patient (no residual, no ossiculoplasty) in one third of cases. CONCLUSION: Residual cholesteatoma in the anterior attic is a problem in CWUT. When postoperative auditory results are good, second look surgery should not be systematic but guided by high quality imaging. |
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Authors:
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L Gaillardin; E Lescanne; S Morinière; J-P Cottier; A Robier |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-9-26 |
Journal Detail:
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Title: European annals of otorhinolaryngology, head and neck diseases Volume: - ISSN: 1879-7296 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101531465 Medline TA: Eur Ann Otorhinolaryngol Head Neck Dis Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Masson SAS. All rights reserved. |
Affiliation:
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Service ORL et chirurgie cervicofaciale, hôpital Bretonneau, CHRU de Tours, 37044 Tours cedex 9, France; Faculté de médecine, université François-Rabelais de Tours-Orléans, 3, rue des Tanneurs, BP 4103, 37041 Tours cedex 01, France. |
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