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Tips and tricks in Open Tympanoplasties

Presenting Author: Enrico Piccirillo

Published online by Cambridge University Press:  03 June 2016

Enrico Piccirillo ,
Melissa Laus ,
Annalisa Giannuzzi  and
Mario Sanna
Enrico Piccirillo
Affiliation:
Gruppo Otologico
Melissa Laus
Affiliation:
Gruppo Otologico
Annalisa Giannuzzi
Affiliation:
Gruppo Otologico
Mario Sanna
Affiliation:
Gruppo Otologico
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Abstract

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Learning Objectives: To evaluate the outcomes of open tympanoplasties (canal wall down mastoidectomies) for cholesteatomas.

Study Design: Retrospective study.

Setting: Gruppo Otologico, a quarternary referral center for Otology and Skull Base Surgery in Italy.

Methods: 1324 cases with a minimum of 2-years follow-up that were operated for middle ear and mastoid cholesteatoma using the open technique were included in the study. The outcomes of were analyzed and the results were compared with a literature review.

Results: The mean follow up was 46.43 months. The mean pre-operative air bone gap was 37 ± 7 dB. Simultaneous ossicular reconstruction was performed in 32% of the cases. A second stage reconstruction was perfomed in 42% of the cases. Recurrent cholesteatomas were seen in 6% of cases in our series. 1% patients developed stenosis of the meatoplasty. Postoperative ear discharge was observed in 4% cases.

Conclusion: The open (canal wall down) technique is a tried and tested procedure in recurrent and large cholesteatoma with considerable pre-operative hearing loss.