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.
journal_name
Clin Exp Otorhinolaryngoljournal_title
Clinical and experimental otorhinolaryngologyauthors
Kim JH,Choi SH,Chung JWdoi
10.3342/ceo.2009.2.1.39subject
Has Abstractpub_date
2009-03-01 00:00:00pages
39-43issue
1eissn
1976-8710issn
2005-0720journal_volume
2pub_type
杂志文章abstract::Meningioma is well known as common disease of the central nervous system, whereas primary extracranial meningioma is rare, representing 1% to 2% of all meningiomas. We have experienced a case of primary extracranial meningioma presenting as a right cheek mass. The tumor was completely excised via a right lateral rhino...
journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
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journal_title:Clinical and experimental otorhinolaryngology
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journal_title:Clinical and experimental otorhinolaryngology
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journal_title:Clinical and experimental otorhinolaryngology
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doi:10.3342/ceo.2013.6.1.52
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
doi:10.3342/ceo.2010.3.4.199
更新日期:2010-12-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
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更新日期:2009-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-12-01 00:00:00
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doi:10.3342/ceo.2014.7.1.42
更新日期:2014-03-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
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journal_title:Clinical and experimental otorhinolaryngology
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更新日期:2008-09-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
doi:10.3342/ceo.2013.6.1.1
更新日期:2013-03-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
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更新日期:2013-03-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章,评审
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更新日期:2019-08-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
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更新日期:2020-11-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
doi:10.3342/ceo.2010.3.2.102
更新日期:2010-06-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
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更新日期:2020-05-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
doi:10.3342/ceo.2013.6.4.214
更新日期:2013-12-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
doi:10.21053/ceo.2016.9.1.70
更新日期:2016-03-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
doi:10.3342/ceo.2013.6.2.57
更新日期:2013-06-01 00:00:00
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journal_title:Clinical and experimental otorhinolaryngology
pub_type: 杂志文章
doi:10.21053/ceo.2017.01221
更新日期:2018-09-01 00:00:00