Surgical management of hyperthyroidism enables good endocrinal control if surgery is complete. Patients need to be fully informed of all possible postoperative complications that could occur, especially vocal ones. Long-term follow-up is necessary to detect recurrence, which can occur more than 20 years after partial thyroidectomy surgery. Surgery allows early diagnosis of 12.5% of papillary carcinomas.

These results confirm the value of cartilage graft placed on the head of the stapes as ossiculoplasty technique in cholesteatoma operated by CWU tympanoplasty, giving comparable results to those obtained with a PORP. Malleus removal did not induce any reduction of the quality of hearing obtained. Total reinforcement of the tympanic membrane with cartilage appeared to decrease the cholesteatoma recurrence rate (8.5%).

FNAC and frozen section have a comparable predictive diagnostic accuracy. Frozen section is requested by the surgeon not only on the basis of preoperative FNAC, especially when it is suspicious, or even indeterminate, but also in the light of the macroscopic surgical findings.

Labyrinthine fenestration provides an immediate hearing gain in patients with tympanosclerotic stapes fixation with the two techniques used. In the longer term, these good results were maintained with the stapedectomy and TORP prosthesis technique, but the hearing gain was no longer statistically significant in the long-term with the stapedotomy technique because of a limited number of cases. However, only a study based on a larger number of patients would be able to confirm the superiority of TORP compared to stapedotomy. Labyrinthine fenestration, which comprised only a low risk of deterioration of hearing and which did not induce any total hearing loss, must nevertheless be performed only in the case of severe bilateral conductive hearing loss, with an intact tympanic membrane, in patients refusing a hearing aid and informed about the risks of deterioration of hearing.

No abstract