Surgical results of external canal cholesteatoma

Yong-Song Lin

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Conclusion. The treatment plan should be adapted in accordance with the individual cause for each patient with external canal cholesteatoma (EACC). Outpatient surgery with eradication of the cholesteatoma and canal reconstruction at an early stage to enable epithelial recovery and migration was proved to be the choice that was effective, low cost, and produced less suffering for the patient to achieve optimal results for most primary EACCs. Objectives. To assess the indications, operation methods, and results of surgery for EACC. Patients and methods. This retrospective case review was conducted in a tertiary referral center, Chi Mei Medical Center, from 1989 to 2007. Outpatient surgery to eradicate diseased canal epithelium and reconstruct a funnel-shaped canal was performed in the cases with primary EACC at an early stage, while inpatient surgery was conducted in the advanced cases. Assessments of cause and outcome were based on the combination of clinical history, physical examination, and radiographic appearance. Results. Clinical records of 45 patients (7 with bilateral lesions) were reviewed; 34 patients were noted with primary EACC and 11 patients with secondary EACC. Surgery was conducted in 42 ears to restore normal epithelial migration. Successful results on an outpatient basis were obtained in most patients.
Original languageEnglish
Pages (from-to)615-623
Number of pages9
JournalActa Oto-Laryngologica
Volume129
Issue number6
DOIs
Publication statusPublished - Nov 2 2009

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Cholesteatoma
Ambulatory Surgical Procedures
Psychological Stress
Tertiary Care Centers
Physical Examination
Ear
Inpatients
Outpatients
Epithelium
Outcome Assessment (Health Care)
Costs and Cost Analysis

Keywords

  • Cholesteatoma

Cite this

Surgical results of external canal cholesteatoma. / Lin, Yong-Song.

In: Acta Oto-Laryngologica, Vol. 129, No. 6, 02.11.2009, p. 615-623.

Research output: Contribution to journalArticle

Lin, Yong-Song. / Surgical results of external canal cholesteatoma. In: Acta Oto-Laryngologica. 2009 ; Vol. 129, No. 6. pp. 615-623.
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