A Study on Clinical Outcome of Scutumplasty in Treatment of Attic Cholesteatoma

Abstract

Objective: To evaluate the clinical outcome of scutumplasty in the treatment of limited attic cholesteatoma. Materials and Method: A prospective interventional study was performed in 30 patients with limited attic cholesteatoma who underwent scutumplasty. The status of the reconstructed scutum was assessed at postoperative 1 st , 3 rd , 6 th month. Pre operative and post operative hearing results were recorded by pure tone audiometry and compared at 3 rd and 6 th month. Results: Out of thirty patients who underwent scutumplasty, two developed retraction pocket and one developed recurrence of cholesteatoma. There was a statistically significant reduction in the Air Bone Gap in the post operative period with p<0.05. Conclusion: Attic reconstruction with cartilage prevents future retraction and recurrence of cholesteatoma. It could also improve the hearing postoperatively but it depends on the ossicular status and the type of tympanoplasty that was done. Scutumplasty can be used successfully in the treatment of limited attic cholesteatoma cases.