Clin Exp Otorhinolaryngol.  2009 Mar;2(1):39-43. 10.3342/ceo.2009.2.1.39.

Clinical Results of Atticoantrotomy with Attic Reconstruction or Attic Obliteration for Patients with an Attic Cholesteatoma

• Kim JH
• Choi SH
• Chung JW

• KMID: 1466562
• DOI: http://doi.org/10.3342/ceo.2009.2.1.39

Abstract

OBJECTIVES
We aimed to investigate the clinical results of atticoantrotomy in patients with an attic cholesteatoma.
METHODS
Ninety-eight ears in 98 patients were operated on using atticoantrotomy between October 2002 and December 2006. A retrospective review of the otology database (operative findings and methods, postoperative physical examination and pre- and postoperative audiometry) was performed.
RESULTS
There were 58 female and 40 male patients with a mean age of 40 yr. The cholesteatoma was limited to the attic region in 24 patients (24.5%); attic with antrum in 18 (18.4%); and attic with antrum and middle ear in 56 (57.1%). Attic obliteration was performed in 59 patients (60.2%), attic reconstruction in 39 (39.8%) and ossicular reconstruction was performed in 59 (60.2%). The mean preoperative and postoperative air-bone gaps were 29.2+/-13.5 dB and 25.0+/-15.4 dB, respectively (P=0.01) and the mean preoperative and postoperative high-tone bone conduction levels were 14.5+/-9.7 dB and 15.23+/-14.0 dB, respectively (P=0.411). A recurrent cholesteatoma was detected in 3 ears (3%) and revision surgery was performed on these patients.
CONCLUSION
Atticoantrotomy showed a low recurrence rate and no deterioration in hearing levels. If there is a intact malleus head or body of incus, attic reconstruction was possible and this procedure could lead to improved hearing. However, postoperative retraction occurred in 18% of patients, a problem that will need to be solved in the future.

Keyword

Cholesteatoma; Surgery; Hearing; Reconstructive surgical procedures; Recurrence

MeSH Terms

Bone Conduction
Cholesteatoma
Ear
Ear, Middle
Female
Head
Hearing
Humans
Incus
Male
Malleus
Otolaryngology
Physical Examination
Reconstructive Surgical Procedures
Recurrence
Retrospective Studies

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