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Journals / The Turkish Journal of Ear Nose and Throat / 2026 / Volume: 10 Issue: 2

Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma

Kolesteatom nedeniyle açık tenik cerrahi uygulanan olgularda başarıyı etkileyen faktörler

Osman Nuri Özgirgin(Başkent Üniversitesi Tıp Fakültesi KBB Hastalıkları Anabilim Dalı)
Erdinç Aydın(Başkent Üniversitesi Tıp Fakültesi KBB Hastalıkları Anabilim Dalı)
Levent Naci Özlüoğlu(Bayındır Tıp Merkezi, KBB Hastalıkları Bölümü, Ankara.)
Tuncay Özçelik(Başkent Üniversitesi Tıp Fakültesi KBB Hastalıkları Anabilim Dalı)
Pages
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Publication Date
2003-04-10
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Revision surgery was per­ formed in four patients 7.1% due to residual cholesteatoma within a five-year follow-up.Conclusion: The height of the facial ridge was found as the most important factor related to a successful outcome of open-technique procedures.Other factors included the creation of a smooth mastoid cavity with round edges, removal of ali diseased mastoid cells, and an extensive conchameatoplasty.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: We evaluated the factors that have considerable significance on the outcome of open cavi- ty procedures in the treatment of cholesteatoma.Patients and Methods: The study included 66 patients 43 males, 23 females; mean age 47 years; range 21 to 69 years who underwent surgery for cholesteatoma.
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Key Findings & Data:Of these, 56 patients completed at least a five-year follow-up.Results: Mucosal infections and granulation tissue formation occurred in seven patients 10% in the early postoperative period.
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Conclusion & Impact:Revision surgery was per­ formed in four patients 7.1% due to residual cholesteatoma within a five-year follow-up.Conclusion: The height of the facial ridge was found as the most important factor related to a successful outcome of open-technique procedures.Other factors included the creation of a smooth mastoid cavity with round edges, removal of ali diseased mastoid cells, and an extensive conchameatoplasty.
🔬Design:Article
📍Scope:Comprehensive Sample
⚙️Variables:Cholesteatoma · middle ear/surgery/complications · otitis media with effusion/surgery

Abstract

Objectives: We evaluated the factors that have considerable significance on the outcome of open cavi- ty procedures in the treatment of cholesteatoma.Patients and Methods: The study included 66 patients 43 males, 23 females; mean age 47 years; range 21 to 69 years who underwent surgery for cholesteatoma. Of these, 56 patients completed at least a five-year follow-up.Results: Mucosal infections and granulation tissue formation occurred in seven patients 10% in the early postoperative period. Retraction pockets devel- oped in three patients 4% ; of these, only one patient required excision because of deep localization. Drum perforations that occurred in two patients 3% were repaired by myringoplasty. Revision surgery was per­ formed in four patients 7.1% due to residual cholesteatoma within a five-year follow-up.Conclusion: The height of the facial ridge was found as the most important factor related to a successful outcome of open-technique procedures.Other factors included the creation of a smooth mastoid cavity with round edges, removal of ali diseased mastoid cells, and an extensive conchameatoplasty.

Özet

Amaç: Çalıflmamızda, kolesteatom tedavisinde uygulanan açık teknik ameliyatlarında baflarıyı etkileyen faktörler arafltırıldı. Hastalar ve Yöntemler: Kolesteatom nedeniyleaçık teknik uygulanan 66 hastaya ait uzun dönemli sonuçlar değerlendirildi. Bunların 56’sı befl yıllık düzenli takibi tamamlamıfl hastalardı. Bulgul a r : Ameliyat sonrası erken dönemde yedihastada %10 granülasyon dokusu ve mukozal enfeksiyon görüldü. Üç hastada %4 retraksiyon cebiolufltu; ancak bunların sadece birinde eksizyon gerekti. İki hastada %3 ameliyat sonrası dönemdezarda oluflan perforasyon miringoplasti yapılarakkapatıldı. Befl yıllık takip süresince dört hastada %7.1 rezidü kolesteatom nedeniyle revizyon cerrahisi yapıldı. Son u ç : Açık teknikte ameliyat baflarısını etkileyen enönemli faktörün fasyal tümsek yüksekliği olduğu sonucuna varıldı. Kenarları keskin olmayan düzgün yüzeyli mastoid kavite oluflturma, tüm hastalıklı hücrelerin temizlenmesi, genifl konkameatoplasti oluflturmabaflarıyı etkileyen diğer faktörler olarak belirlendi

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Cite This Article

Özgirgin, O. N., Aydın, E., Özlüoğlu, L. N., Özçelik, T. (2003). Factors that affect the outcome of open-technique procedures performed in the treatment of cholesteatoma. The Turkish Journal of Ear Nose and Throat, Volume: 10 Issue: 2. https://ajindex.com/articles/1330194

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