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Modified sleeve tympanotomy approach for removal of congenital cholesteatoma

Published online by Cambridge University Press:  11 August 2008

H J Park ,
G H Park ,
J E Shin  and
S O Chang
H J Park*
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University School of Medicine, Seoul, South Korea
G H Park
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University School of Medicine, Seoul, South Korea
J E Shin
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University School of Medicine, Seoul, South Korea
S O Chang
Affiliation:
Seoul National University College of Medicine, Seoul, South Korea
*
Address for correspondence: Dr Hong Ju Park, Assistant Professor, Dept of Otorhinolaryngology-Head and Neck Surgery, Konkuk University School of Medicine, 1 Hwayang-dong Gwangjin-gu, Seoul, South Korea143-914. Fax: 82 2 2030 7749 E-mail: hpark@kuh.ac.kr
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Abstract

Objective:

We present a technique which we have found useful for the management of congenital cholesteatoma extensively involving the middle ear.

Case report:

A five-year-old boy was presented to our department for management of a white mass on the right tympanic membrane. This congenital cholesteatoma extensively occupied the tympanic cavity. It was removed through an extended tympanotomy approach using our modified sleeve technique. The conventional tympanotomy approach was extended by gently separating the tympanic annulus from its sulcus in a circular manner. The firm attachment of the tympanic membrane at the umbo was not severed, in order to avoid lateralisation of the tympanic membrane.

Conclusion:

Although various operative techniques can be used, our modified sleeve tympanotomy approach provides a similarly sufficient and direct visualisation of the entire middle ear, with, theoretically, no possibility of lateralisation of the tympanic membrane and subsequent conductive hearing loss.

Keywords

Otological Surgical ProceduresCholesteatomaMiddle EarTympanic Membrane
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 12 , December 2008 , pp. 1365 - 1367
Copyright
Copyright © JLO (1984) Limited 2008

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References

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