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Updated: Jan 31, 2026

Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Cartilage Fascia Composite Canalplasty for External Auditory Canal Cholesteatoma: Case Analysis and Long-term
Jung Mee Park1, Jung Ju Han, So Young Park
1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Objective:
To analyze surgical outcomes of cartilage-fascia composite canalplasty (CFCC) for external auditory canal cholesteatoma (EACC).
Study Design:
Retrospective case review study.
Setting:
Tertiary referral center.
Patients:
A total of 13 patients with EACC (n = 14 ears due to one patient with bilateral EACC).
Intervention:
Surgical method of CFCC using well designed-conchal cartilage and temporalis muscle fascia after complete removal of EACC.
Main Outcome Measures:
Clinical characteristics and EACC stages were determined by oto-endoscopic examination and computed tomography (CT) findings. The surgical results of CFCC were analyzed.
Results:
The median age of patients was 43 years (range, 12-75 yr), with a male to female ratio of 6 to 7. EACC stages were from II to IV. Cortical bone erosion in the inferior part of the bony EAC was the most common finding. All patients had satisfactory results: no more ear symptoms related with cholesteatoma and no need of dressing. Postoperative hearing gain was observed in four patients. No complications or recurrence occurred during the mean follow-up period of 34.4 months.
Conclusion:
Surgical technique of CFCC was effective for EACC not responding to conservative management.
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