Validating the Excision of Cholesteatoma

Schuring, Arnold G.

doi:10.1016/s0030-6665(20)31376-1

Cited by 4 publications

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“…22 Planned exploratory surgery may lead to early detection of residual or recurrent disease and limit the number of conversions to CWD surgery. Schuring et al 4 - 23 were able to preserve the posterior canal wall in 85% of children requiring revision following CWU surgery by a planned staged approach.…”

Section: Discussionmentioning

confidence: 99%

Otoendoscopy for Improved Pediatric Cholesteatoma Removal

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Isaacson

1999

Ann Otol Rhinol Laryngol

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Our objective was to determine the usefulness of intraoperative rigid endoscopy in detecting incompletely removed cholesteatomas, and to learn whether "second-look" procedures are still needed in children. We used 30 degrees, 2.7-mm endoscopes to evaluate the middle ears of 14 children (29 procedures) with cholesteatomas once all visible disease had been removed under the operating microscope. If residual cholesteatoma was seen, removal continued until all disease visualized with the endoscope was removed. If the cholesteatoma was not removed intact, planned exploratory surgery was performed. The rigid endoscope detected incompletely removed cholesteatomas at surgery in 7 of the 29 cases (24%). In 2 of the 11 cases (18%) judged free of cholesteatoma by both otomicroscopy and otoendoscopy, residual disease was found at planned exploratory procedures. While otoendoscopy is clearly useful in detecting incompletely removed cholesteatoma, a substantial rate of residual disease following "complete" removal suggests the continued need for planned exploratory procedures.

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Section: Discussionmentioning

confidence: 99%

Otoendoscopy for Improved Pediatric Cholesteatoma Removal

Good

Isaacson

1999

Ann Otol Rhinol Laryngol

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Partial ossicular reconstruction in children: A review of 62 operations

et al. 1998

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These results compare favorably with those from other, mostly adult, studies. Comparison of prosthesis types revealed generally stable long-term results with few significant differences. Success with ossiculoplasty in children can be obtained by applying the same principles and approach to ossicular reconstruction as used in adults. Ossicular reconstruction in children remains a secondary goal after establishing a safe, dry, and stable ear. A discussion of techniques and comparative literature review are presented.

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Reporting Results in Ossiculoplasty

Black¹

2003

Otology & Neurotology

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Validating the Excision of Cholesteatoma

Cited by 4 publications

References 4 publications

Otoendoscopy for Improved Pediatric Cholesteatoma Removal

Otoendoscopy for Improved Pediatric Cholesteatoma Removal

Partial ossicular reconstruction in children: A review of 62 operations

Reporting Results in Ossiculoplasty

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