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Operative management of external auditory canal cholesteatoma: case series and literature review

Published online by Cambridge University Press:  20 August 2013

M Sayles ,
H A Kamel  and
F F Fahmy
M Sayles*
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, West Suffolk Hospital NHS Trust, Bury St. Edmunds, UK
H A Kamel
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, West Suffolk Hospital NHS Trust, Bury St. Edmunds, UK
F F Fahmy
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, West Suffolk Hospital NHS Trust, Bury St. Edmunds, UK
*
Address for correspondence: Mr M Sayles, Department of Otorhinolaryngology - Head and Neck Surgery, West Suffolk Hospital NHS Trust, Hardwick Lane, Bury St. Edmunds IP33 2QZ, UK E-mail: sayles.m@gmail.com
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Abstract

Objectives:

To describe the clinical features of external auditory canal cholesteatoma, and to assess the outcome following bony meatoplasty with tragal cartilage and perichondrium graft repair.

Methods:

A retrospective review was carried out, comprising all patients with external auditory canal cholesteatoma who presented between January 2007 and December 2011. Patients underwent pre-operative audiometry and computed tomography imaging of the temporal bones, before undergoing bony meatoplasty via a postauricular incision. Pre- and post-operative comparisons were made of patients' otological symptoms and the otoscopic appearance of the external ear canal.

Results and conclusion:

Eight patients were included in the analyses. The median age of patients was 46.5 years (range 14–68 years), with a male to female ratio of 1:1. The median length of follow up was 16 months. The most common presenting features were unilateral otalgia and purulent otorrhoea. All patients had relatively advanced disease at presentation, with erosion of the temporal bone. All patients underwent bony meatoplasty via a postauricular approach to eradicate the disease. Bony meatoplasty was successful in the definitive management of external ear canal cholesteatoma.

Keywords

CholesteatomaExternal Auditory CanalOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 9 , September 2013 , pp. 859 - 866
Copyright
Copyright © JLO (1984) Limited 2013 

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