Objective: To analyze surgical outcomes of cartilage-fascia composite canalplasty (CFCC) for external auditory canal cholesteatoma (EACC).
Study Design: Retrospective case review study.
Setting: Tertiary referral center.
Patients: A total of 13 patients with EACC (n = 14 ears due to one patient with bilateral EACC).
Intervention: Surgical method of CFCC using well designed-conchal cartilage and temporalis muscle fascia after complete removal of EACC.
Main Outcome Measures: Clinical characteristics and EACC stages were determined by oto-endoscopic examination and computed tomography (CT) findings. The surgical results of CFCC were analyzed.
Results: The median age of patients was 43 years (range, 12-75 yr), with a male to female ratio of 6 to 7. EACC stages were from II to IV. Cortical bone erosion in the inferior part of the bony EAC was the most common finding. All patients had satisfactory results: no more ear symptoms related with cholesteatoma and no need of dressing. Postoperative hearing gain was observed in four patients. No complications or recurrence occurred during the mean follow-up period of 34.4 months.
Conclusion: Surgical technique of CFCC was effective for EACC not responding to conservative management.
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http://dx.doi.org/10.1097/MAO.0000000000002087 | DOI Listing |
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