Modification of Combined-Approach Tympanoplasty in Attic Cholesteatoma

Tensa retraction cholesteatoma: treatment and long-term results

“…Tensa retraction cholesteatoma is probably the cholesteatoma type showing the poorest long-term prognosis with regard to function. The results are greatly inferior to those obtained in attic cholesteatoma (Tos, 1982;Lau and Tos, 1988b) and somewhat poorer than in sinus cholesteatoma (Lau and Tos, 1988b). The recurrence rate is thus greater (13 per cent against 10 per cent) and there are more unclean cavities, but especially the hearing results are inferior both pre-and post-operatively.…”

Outcome of intact canal wall mastoidectomy in limited attic cholesteatoma

“…5, 6 Deng et al reported 0 rate of recidivism in their study. 1 The probable factors which influence the outcome would be residual disease which seemingly is inaccessible in Sinus tympani and Facial Recess areas via the intact canal wall technique.…”

Assessment of visualization of structures in the middle ear via Tos modified canal wall-up mastoidectomy versus classic canal wall-up and canal wall-down mastoidectomies

“…In these circumstances, a CWD approach is usually the choice of approach. However, Tos' modified CWU mastoidectomy may allow similar exposure of these two important places of residual cholesteatoma [9,10,18,19]. This observation was objectively evaluated and approved with the present study.…”