Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Trans-canal mastoidectomy]

R Gómez-Ullate1, F Cristóbal, C Ruiz

  • 1Centro de Especialidades Quirúrgicas, Ciudad Universitaria, Madrid.

Acta Otorrinolaringologica Espanola
|August 26, 1998
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Automated FerryBox monitoring reveals the first recorded river induced crude oil seep transport to the Strait of Magellan in southern Patagonia.

The Science of the total environment·2024
Same author

Global taxonomic, functional, and phylogenetic diversity of bees in apple orchards.

The Science of the total environment·2023
Same author

Nonlinear confocal positioner for micron-scale target alignment.

Optics express·2023
Same author

Effects of bisphenol F, bisphenol S, and bisphenol AF on cultured human osteoblasts.

Archives of toxicology·2023
Same author

Direct Measurement of Resonances in ^{7}Be(α,γ)^{11}C Relevant to νp-Process Nucleosynthesis.

Physical review letters·2022
Same author

High accuracy astigmatic-focusing system for laser targets.

Applied optics·2022
Same journal

Hearing in Sickle Cell Disease: Cochlear and Subcortical Dysfunction without Cortical Impairment.

Acta otorrinolaringologica espanola·2026
Same journal

Effects of Systemic Clonidine Administration on Blood Loss and Surgical Field Quality in Functional Endoscopic Sinus Surgery.

Acta otorrinolaringologica espanola·2026
Same journal

Spanish validation of the Dyspnea Index (DI): translation, cultural adaptation, and psychometric evaluation.

Acta otorrinolaringologica espanola·2026
Same journal

Should gastroenterologists expand their role in pharyngeal and laryngeal evaluation during upper endoscopy?

Acta otorrinolaringologica espanola·2026
Same journal

Head and neck manifestations of indolent T-cell lymphoproliferative disorder of the gastrointestinal tract: A systematic review.

Acta otorrinolaringologica espanola·2026
Same journal

A systematic review on sound-based therapy for individuals with hyperacusis.

Acta otorrinolaringologica espanola·2026
See all related articles

Open mastoidectomy techniques for middle ear cholesteatoma show lower recurrence rates than canal-wall-up methods. This study found stable results with transmeatal approaches, emphasizing critical postoperative care.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Middle Ear Disease Management

Background:

  • The optimal surgical treatment for middle ear cholesteatoma remains a long-standing debate.
  • Traditional canal-wall-up mastoidectomy techniques are associated with significant recurrence rates.
  • External ear or transmeatal mastoidectomy approaches are being re-evaluated for efficacy.

Purpose of the Study:

  • To evaluate the outcomes of different transmeatal mastoidectomy techniques for cholesteatoma treatment.
  • To compare the recurrence rates and long-term stability of open mastoidectomy techniques versus canal-wall-up methods.
  • To assess the impact of surgical approach on mastoid cavity stability, neotympanum integrity, and hearing evolution.

Main Methods:

  • A prospective study involving 215 ears operated for cholesteatoma.

Related Experiment Videos

  • Surgical techniques included 'on demand' DAA mastoidectomy, modified radical mastoidectomy, and radical mastoidectomy with obliteration.
  • Evaluation parameters: mastoid cavity stability, neotympanum integrity, and hearing outcomes over three years.

    • Main Results:

    • Cholesteatoma recurrence rates were significantly lower with the transmeatal approach compared to canal-wall-up techniques.
    • Only 1.4% (3 out of 215) of cases experienced instability three years post-surgery.
    • The transmeatal approaches demonstrated favorable results in terms of mastoid cavity and neotympanum status.

    Conclusions:

    • Canal-wall-up mastoidectomy has been discontinued due to high recurrence rates.
    • Open transmeatal techniques, including 'on demand' mastoidectomy, offer more stable outcomes for cholesteatoma.
    • While effective, these open techniques necessitate meticulous postoperative care for optimal results.