Langzeitergebnisse nach Cholesteatomchirurgie*

Jahnke, K.; Khatib, Moustafa M. El; Rau, U.

doi:10.1055/s-2007-1008129

Cited by 5 publications

(6 citation statements)

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“…However, many auricular surgeons have abandoned the classic CWU technique due to the very high recurrence rate. However, according to Jahnke, a closed technique should be pursued if possible, particularly in children [ 156 ]. The CWD technique, with the establishment of an open mastoid cavity, requires continuous cleaning, which is tolerated little by children.…”

Section: Selected Diseases and Therapeutic Optionsmentioning

confidence: 99%

Diseases of the middle ear in childhood

Minovi

Dazert

2014

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 13:Doc11; ISSN 1865-1011

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Section: Selected Diseases and Therapeutic Optionsmentioning

confidence: 99%

Diseases of the middle ear in childhood

Minovi

Dazert

2014

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 13:Doc11; ISSN 1865-1011

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“…Die Untersuchungszeiträume liegen zwischen em und neunzehn Jahren, wobei meist innerhaib eines Patientengutes auch nur Durchschnittswerte angegeben sind (11,12). Ebenso zeigen sie eine deutliche Altersabhangigkeit, je jünger die Patienten, desto haufiger die Rezidive (8,10). Ebenso schwanken die Ergebnisse je nach offener oder geschlossener Technik, wobei die Definition dieser Technik wieder unterschiedlich aufgefal3t wird (4,9, 14,15).…”

Section: Re-operationenunclassified

“…Bezuglich der Second-look-Operationen gibt es ebenfalls unterschiedliche Meinungen. So gibt es Autoren, die eine Second-look-Operation für unnötig halten (11), viele, die sic für berechtigt halten und ernpfehlen, wobei der zeitliche Abstand zur Erstoperation bei den meisten Autoren zwischen em bis drei Jahren angegeben wird (6,8,9,13). Manche Autoren sind der Meinung, dal3 selbst em Kettenaufbau erst bei der Zweitoperation erfolgen soll, urn so die Patienten zu einer ,,Second-l ook-Operation" leichter zu rnotivieren.…”

Section: Re-operationenunclassified

“…Die verschiederien Standpunkte zur offenen und geschlossenen Technik darzulegen, würde den Rahmen dieser Arbeit sprengen. Das Vorgehen bei dem eigenen Patientengut entspricht vielen anderen Autoren, die der Meinung sind, daB in Abhängigkeit der anatomischen Verhältnisse, der Ausdehnung des Cholesteatoms, sowie der Kooperationsmöglichkeit des Patienten die Art des operativen Vorgehens bestimrnt werden mul3 (4,6,7,8,10,11,13,14,15).…”

Section: Re-operationenunclassified

“…Insgesamt waren 4% als zweizeitige Operationen bereits bei der ersten Operation geplant. Die Auffassung flber die em-oder zweizeitige Operation bei chronischer Entzündung wird in der Literatur unterschiedlich betrachtet (3,4,8,14).…”

Section: Re-operationenunclassified

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1000 Ohroperationen - Eine kritische Analyse und klinische Konsequenzen*

Nekahm²,

Ehrenberger³

1992

Laryngo-Rhino-Otol

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1028 ear operations which were performed by our department during the last few years are being analysed in the study. 649 of them were carried out to improve hearing, 245 to cure the middle ear; 120 were reoperations, and 14 could not be classified. The patients were diagnosed as follows: 280 with and 279 with other forms of cholesteatoma, 151 with otosclerosis, 20 with deformations, 89 with a trauma, and 20 with a tumour of the middle ear. Of these, only reoperations of cholesteatoma, chronic otitis media and tympanosclerosis were examined in further detail in this research. 54 (of a total of 280) patients diagnosed with cholesteatoma were surgically treated a second time. The reason for reoperation was recurrent cholesteatoma in 70% of the cases, and a planned second-look operation after one year in 30%. In second-look operations, ossicular chain reconstruction was performed in most cases, but in another 11%, recurrent cholesteatoma was found. The majority of recurrencies occurred either 2 to 4 years after primary operation or after 11 years. 44 of a total of 297 patients with chronic mesotympanic otitis media were re-operated on: 57% of them for recurrent inflammation, and 43% for ossicular chain reconstruction as a planned second-step operation. The majority of reoperations occurred within the first year after primary operation, continually decreasing for up to five years afterwards. The following conclusions can be drawn from these results: 1. Often the patients suffer from extended cholesteatoma, so that at first curative surgery is necessary, while the ossicular chain can be reconstructed by a second operation only.(ABSTRACT TRUNCATED AT 250 WORDS)

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Tympano–cartilago–stapediopexy: a method to improve hearing in open technique tympanoplasty

Moustafa¹,

Khalifa²

1990

J. Laryngol. Otol.

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Canal wall-down technique tympanoplasty was indicated in about 41 per cent of our cases with chronic suppurative otitis media. In this series done during the last four years, of 576 tympanoplasties, 240 cases needed type III tympanoplasty. In 145 cases, myringostapediopexy was carried out using temporalis fascia grafting over the head of the stapes. Tympano-cartilago-stapediopexy was performed in the other 95 cases by using tragal cartilage and perichondrium over the stapes. A comparison between the results of both methods of grafting is discussed. Improvement in hearing was achieved after tympano-cartilago-stapediopexy. This method proved to be suitable for those cases which need open technique tympanoplasty.

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Langzeitergebnisse nach Cholesteatomchirurgie*

Cited by 5 publications

References 0 publications

Diseases of the middle ear in childhood

Diseases of the middle ear in childhood

1000 Ohroperationen - Eine kritische Analyse und klinische Konsequenzen*

Tympano–cartilago–stapediopexy: a method to improve hearing in open technique tympanoplasty

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