Canal wall down versus canal wall up surgeries in the treatment of middle ear cholesteatoma

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dc.authorid0000-0002-3887-4569
dc.contributor.authorKaramert, Recep
dc.contributor.authorEravcı, Fakih Cihat
dc.contributor.authorCebeci, Süleyman
dc.contributor.authorDüzlü, Mehmet
dc.contributor.authorZorlu, Mehmet Ekrem
dc.contributor.authorGülhan, Nagihan
dc.contributor.authorTutar, Hakan
dc.contributor.authorUğur, Mehmet Birol
dc.contributor.authorİriz, Ayşe
dc.contributor.authorBayazıt, Yıldırım Ahmet
dc.date.accessioned2019-12-26T17:40:23Z
dc.date.available2019-12-26T17:40:23Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun Boğaz Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground/aim: To compare outcomes of canal wall up (CWU) and canal wall down (CWD) techniques in the treatment of middle ear cholesteatoma. Materials and methods: Medical records of 76 patients who had a primary surgery due to middle ear cholesteatoma between July 2015 and November 2017 were reviewed retrospectively. Hearing thresholds, speech discrimination scores (SDS), recurrences, and revision surgeries of CWU and CWD surgeries were compared. Results: Of 76 cholesteatoma cases, 40 (52.6%) had a CWU and 36 (47.4%) had a CWD operation. Postoperatively, the mean air conduction thresholds were significantly better in CWU compared to CWD surgeries (P = 0.016). The presence of the stapes and the type of reconstruction material used did not have a significant effect on auditory success rates (P = 0.342 and P = 0.905, respectively). Auditory success was affected by the status of the middle ear mucosa as well. The recurrence and revision rates did not differ between the surgical techniques (P > 0.05). Conclusion: Status of the middle ear mucosa and external auditory canal are important factors affecting the outcomes in cholesteatoma. Instead of a CWD surgery, a CWU surgery seems applicable in cases of cholesteatoma when the bone in the external auditory canal is not eroded by the disease.
dc.identifier.citationKaramert, R., Eravcı, F. C., Cebeci, S., Düzlü, M., Zorlu, M. E., Gülhan, N. ... Bayazıt, Y. A. (2019). Canal wall down versus canal wall up surgeries in the treatment of middle ear cholesteatoma. Turkish Journal of Medical Sciences, 49(5), 1426-1432. http://doi.org/10.3906/sag-1904-109
dc.identifier.doi10.3906/sag-1904-109
dc.identifier.endpage1432
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue5
dc.identifier.scopusqualityQ3
dc.identifier.startpage1426
dc.identifier.urihttp://doi.org/10.3906/sag-1904-109
dc.identifier.urihttps://hdl.handle.net/20.500.12511/4741
dc.identifier.volume49
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherThe Scientific and Technological Research Council of Turkey (TÜBİTAK)
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 United States*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectCholesteatoma
dc.subjectMastoidectomy
dc.subjectTympanoplasty
dc.subjectOssicular Replacement
dc.titleCanal wall down versus canal wall up surgeries in the treatment of middle ear cholesteatoma
dc.typeArticle

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