Background: to evaluate the residual rate and the functional results after ten years from canal wall down tympanoplasty (CWD) for tympano-mastoid cholesteatoma. Methods: All the patients undergoing CWD for chronic otitis media with cholesteatoma at our ENT University Department between January 2002 and December 2022 were initially assessed. We performed clinical and diagnostic evaluation at baseline, 6 months, and then every year until an average follow-up of 10 years was obtained. Patients were consequently divided into two groups according to the presence (group A) or absence (group B) of the stapes superstructure. Results: After the selection process, 176 ears were included. The presence of the stapes superstructure was associated with better hearing outcomes (rate of patients < 30 dB) at 6 months (91.42% vs. 74.46%; p = 0.001) and 10 years (74.46% vs. 24.11%; p < 0.001). Residual cholesteatoma was reported in 10 ears, which included 2/35 ears in group A (5.71 %) and 8/141 in group B (5.67 %) (p = 0.993). The recurrent cholesteatoma rate was respectively 1/35 (2.85%) vs. 3/141 (2.18%) (p = 0.516). Conclusions: the CWD approach to cholesteatoma allows for effective long-term anatomical disease control and good hearing results when the stapes superstructure is preserved.

Long-term anatomical and hearing outcomes of canal wall down tympanoplasty for tympano-mastoid cholesteatoma: a 20-year retrospective study / Ferlito, Salvatore; La Mantia, Ignazio; Merlino, Federico; Cocuzza, Salvatore; Di Stadio, Arianna; Cammaroto, Giovanni; Bartel, Ricardo; Fadda, Gianluca; Iannella, Giannicola; Mat, Quentin; Gargula, Stéphane; Michel, Justin; Fakhry, Nicolas; Maniaci, Antonino. - In: LIFE. - ISSN 2075-1729. - 12:11(2022). [10.3390/life12111745]

Long-term anatomical and hearing outcomes of canal wall down tympanoplasty for tympano-mastoid cholesteatoma: a 20-year retrospective study

Di Stadio, Arianna;Iannella, Giannicola;
2022

Abstract

Background: to evaluate the residual rate and the functional results after ten years from canal wall down tympanoplasty (CWD) for tympano-mastoid cholesteatoma. Methods: All the patients undergoing CWD for chronic otitis media with cholesteatoma at our ENT University Department between January 2002 and December 2022 were initially assessed. We performed clinical and diagnostic evaluation at baseline, 6 months, and then every year until an average follow-up of 10 years was obtained. Patients were consequently divided into two groups according to the presence (group A) or absence (group B) of the stapes superstructure. Results: After the selection process, 176 ears were included. The presence of the stapes superstructure was associated with better hearing outcomes (rate of patients < 30 dB) at 6 months (91.42% vs. 74.46%; p = 0.001) and 10 years (74.46% vs. 24.11%; p < 0.001). Residual cholesteatoma was reported in 10 ears, which included 2/35 ears in group A (5.71 %) and 8/141 in group B (5.67 %) (p = 0.993). The recurrent cholesteatoma rate was respectively 1/35 (2.85%) vs. 3/141 (2.18%) (p = 0.516). Conclusions: the CWD approach to cholesteatoma allows for effective long-term anatomical disease control and good hearing results when the stapes superstructure is preserved.
2022
canal wall down mastoidectomy; recurrence rate; residual disease; tympanomastoid cholesteatoma
01 Pubblicazione su rivista::01a Articolo in rivista
Long-term anatomical and hearing outcomes of canal wall down tympanoplasty for tympano-mastoid cholesteatoma: a 20-year retrospective study / Ferlito, Salvatore; La Mantia, Ignazio; Merlino, Federico; Cocuzza, Salvatore; Di Stadio, Arianna; Cammaroto, Giovanni; Bartel, Ricardo; Fadda, Gianluca; Iannella, Giannicola; Mat, Quentin; Gargula, Stéphane; Michel, Justin; Fakhry, Nicolas; Maniaci, Antonino. - In: LIFE. - ISSN 2075-1729. - 12:11(2022). [10.3390/life12111745]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1694008
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