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Year: 2022  Vol. 26   Num. 2  - Apr/Junee
DOI: 10.1055/s-0041-1730455
Original Article
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Endoscopic-Assisted Canal Wall-up Tympanomastoidectomy for Reduction of Residual Cholesteatoma
Mauricio Noschang Lopes Silva, Fbio Andr Selaimen, Felipe da Costa Huve, Fernanda Dias Toshiaki Koga, Luciana Lima Martins-Costa, Joo Augusto Polesi Bergamaschi, Alice Lang Silva, Sady Selaimen da Costa
Key words:
endoscopic ear surgery - cholesteatoma - level of evidence: 3

Introduction The treatment of cholesteatoma is generally surgical, and the major obstacle is the high prevalence of recidivism. The endoscopic ear surgery technique is proposed to minimize this problem. Objectives To utilize endoscopes to visualize and manipulate cholesteatoma residues after microscopic removal Methods Cross-sectional study. Thirty-two patients with cholesteatoma underwent microscopic wall-up mastoidectomy combined with the endoscopic approach. The subjects were assessed for the presence and location of covert disease. Results Of the 32 cases, 17 (53.12%) had residual cholesteatoma in the endoscopic phase. Minimal disease was found, usually fragments of the cholesteatoma matrix. Pars tensa cholesteatomas had more covert disease than pars flaccida cholesteatomas (62.50% vs 43.75%). Posterior recesses (47.05%) and tegmen tympani (41.17%) were the locations with more covert disease (p < 0.05). Conclusion Cholesteatomas of the pars tensa presented more residual disease and were significantly more common in the posterior recesses and tegmen tympani.



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