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Factors associated with recurrence of cholesteatoma

Published online by Cambridge University Press:  29 June 2007

Eero Vartiainen
Eero Vartiainen*
Affiliation:
Department of Otolaryngology, University of Kuopio, Kuopio, Finland.
*
Dr Eero Vartiainen, Department of Otolaryngology, University Hospital of Kuopio, FIN-70210 Kuopio, Finland. Fax: 358-71-172509
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Abstract

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After a mean follow-up period of 7.3 years, a recurrence was found in 43 (12.3 percent) out of 349 consecutive patients undergoing surgical treatment for acquired cholesteatoma. The great majority of residual cholesteatomas detected in the ‘second-look’ operations arose from the oval window area.Chronic otorrhoea and a reperforation were the most common signs of late recurrences. In eight ears a recurrent cholesteatoma developed from a retraction pocket. The recurrence rate was higher in children than in adults. The type of surgical technique had no significant effect on recurrence rate. Recurrences were more frequent in pre-operatively discharging ears than in dry ears. Some suggestions have been made to improve the results of surgery for cholesteatoma.

Keywords

Otitis mediasuppurativeCholesteatomaMastoid, surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 7 , July 1995 , pp. 590 - 592
Copyright
Copyright © JLO (1984) Limited 1995

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