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Long-term observation after soft posterior meatal wall reconstruction in ears with cholesteatoma

Published online by Cambridge University Press:  29 June 2007

Hiroshi Hosoi ,
Kiyotaka Murata ,
Hiroki Kimura  and
Yoshiaki Tsuta
Hiroshi Hosoi*
Affiliation:
Department of Otorhinolaryngology, Kinki University School of Medicine, Osaka, Japan.
Kiyotaka Murata
Affiliation:
Department of Otorhinolaryngology, Kinki University School of Medicine, Osaka, Japan.
Hiroki Kimura
Affiliation:
Department of Otorhinolaryngology, Kinki University School of Medicine, Osaka, Japan.
Yoshiaki Tsuta
Affiliation:
Department of Otorhinolaryngology, Kinki University School of Medicine, Osaka, Japan.
*
Address for correspondence: Hiroshi Hosoi, M.D., Department of Otorhinolaryngology, Kinki University School of Medicine, 377-2 Ohnohigashi, Osakasayama, Osaka 589, Japan. Fax: 81-723-66-0206 E-mail: hosoi@qa2.so-net.or.jp
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Abstract

We performed tympanoplasty with reconstruction of the soft posterior meatal wall for the prevention of post-operative retraction pocket formation. Our method is characterized by the reconstruction of the softposterior meatal wall, non-obliteration with permanent or temporary materials, including Gelfoam, no use of a Palva flap and the use of fibrin glue for attaching the fascia to the posterior meatal skin. None of the patients experienced post-operative narrow-neck retraction pocket formation, and whenever aeration of the middle ear was disturbed, a balloon-like retraction was observed. Not all the posterior meatal walls retracted. The final position of the posterior meatal wall varied among the subjects. No serious cavity or hearing problems have occurred since surgery. Due to the strong possibility of post-operative retraction pocket formation in cases with a large balloon-like retraction, we rejected adopting the canal wall up technique or hard posterior meatal wall reconstruction.

Keywords

CholesteatomaTympanoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 1 , January 1998 , pp. 31 - 35
Copyright
Copyright © JLO (1984) Limited 1998

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Footnotes

This paper was presented at the Fifth International Conference on Cholesteatoma and Mastoid Surgery which was held in Alghero, Italy, September 1–6, 1996.

References

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