gms | German Medical Science

81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

12.05. - 16.05.2010, Wiesbaden

Cholesteatoma surgery, between radicality and functionality, our concept in the ENT department of timisoara

Meeting Abstract

  • corresponding author Alin Horia Marin - Univ. Victor Babes, Dept. ENT, Timisoara, Romania
  • Marioara Poenaru - Univ. Victor Babes, Dept. ENT, Timisoara, Romania
  • S. Lipescu - Univ. Victor Babes, Dept. ENT, Timisoara, Romania
  • G. Iovanescu - Univ. Victor Babes, Dept. ENT, Timisoara, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod374

DOI: 10.3205/10hnod374, URN: urn:nbn:de:0183-10hnod3746

Veröffentlicht: 22. April 2010

© 2010 Marin et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Cholesteatoma is a histologically benign lesion, but biologically invasive, characterized by the presence of keratinizing squamous epithelium within the middle ear. Surgery is the main option in cholesteatoma treatment. The distructiv and recurrent character of the lesions raise numerous problems regarding the choice of the most adequate surgical technique in cholesteatoma patients.

Materials and methods: The authors present a retrospective study of 116 cases of cholesteatoma operated in the ENT department of the University of Medicine and Pharmacy Timişoara. The patients are classified according to the intraoperative extension of the lesions, and to the surgical techniques employed.

Results: The postoperative results, morphological and functional, are presented, according to the type of the surgical procedure. The authors discuss the different surgical techniques used today in choloesteatoma surgery, emphasizing the specific features of the colesteatoma treatment in Romania.

Conclusion: In the majority of cases the canal wall down mastoidectomy with tympanoplasty was used. We used the intact canal wall technique only in small delimited epitympanic cholesteatoma or in retraction pockets. The classic radical mastoidectomy is still in use, but only in special indications.