Objectives: We evaluated the factors that have considerable
significance on the outcome of open cavity
procedures in the treatment of cholesteatoma.
Patients and Methods: The study included 66
patients (43 males, 23 females; mean age 47 years;
range 21 to 69 years) who underwent surgery for
cholesteatoma. Of these, 56 patients completed at
least a five-year follow-up.
Results: Mucosal infections and granulation tissue
formation occurred in seven patients (10%) in the
early postoperative period. Retraction pockets developed
in three patients (4%); of these, only one patient
required excision because of deep localization. Drum
perforations that occurred in two patients (3%) were
repaired by myringoplasty. Revision surgery was performed
in four patients (7.1%) due to residual
cholesteatoma within a five-year follow-up.
Conclusion: The height of the facial ridge was
found as the most important factor related to a successful
outcome of open-technique procedures.
Other factors included the creation of a smooth mastoid
cavity with round edges, removal of all diseased
mastoid cells, and an extensive conchameatoplasty.
FREE FULL TEXTAnahtar Kelimeler: Kolesteatom, orta kulak/cerrahi/komplikasyon;efüzyonlu otitis media/cerrahi; mastoid/cerrahi;mastoidit/cerrahi; ameliyat sonrası komplikasyon; nüks;timpanik membran.