RESULTS OF ATTIC CHOLESTEATOMA SURGERY

M. Stankovic

University ENT Clinic Nis

Serbia, YU

Considerable effort has been made for the development of techniques that ensure enduring anatomic stability for cholesteatomatous ear. However, the incidence of postoperative complications after some operations is high. Attic cholesteatoma has some particularities when recurrent disease is analyzed. It is generally accepted that every defect in the superior bony canal should be repaired.

To study the results of attic cholesteatoma surgery we reviewed 40 cases which were divided in two groups. The first group consisted of 17 patients treated earlier with canal wall down technique and no attic reconstruction. In the second group 23 cases with intact canal wall tympanoplasty and attic reconstruction with tragal cartilage were studied. Ossicular system was reconstructed with homologous incus after removal of autologous incus and malleus head. Removed ossicles here analysed histomorphometrically. Anatomical and functional results were evaluated after at least three years postoperatively. Audiological results were comparable in both groups, with slightly better results in the second group. However, the incidence of retraction, reperforation or recurrent disease were significantly higher in the first group.