Iatrogenic cholesteatoma arising from the vascular strip

Sweeney, Alex D.; Hunter, Jacob B.; Haynes, David S.; Driscoll, Colin L. W.; Rivas, Alejandro; Vrabec, Jeffrey T.; Carlson, Matthew L.

doi:10.1002/lary.26093

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…26 The advantages of medial (underlay) graft include ease of learning the technique, avoidance of the risk of lateralization and blunting of the anterior sulcus, and high success rate, especially for the posterior perforation. 27 The disadvantages of medial graft are inadequate visualization of the anterior middle ear, possible anterior graft fall-away, reduction of middle ear space with consequent increased risk of adhesions, and less suitability for reconstruction of anterior perforation. 27…”

Section: Resultsmentioning

confidence: 99%

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Outcomes of circumferential tympanomeatal flap tympanoplasty in large central perforation

Venkatesha

Yogeesha

khan

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Tympanoplasty is the commonest procedure performed in patients with chronic otitis media. Circumferential elevation of tympanomeatal flap and underlay graft placement is thought to be a good surgical technique as it ensures elevation of canal skin over the Eustachian tube area to form a good assemble between the temporalis graft and the flap to increase the success rate. In our study we intend to study the surgical and hearing outcome in patients undergoing tympanoplasty with circumferential tympanomeatal flap in large central perforations.Methods: A prospective study with 25 patients in a tertiary care hospital for a period of 2 years, who underwent circumferential tympanomeatal flap tympanoplasty. Patients were followed up on one month and two months. Graft outcomes and hearing outcomes were studied. Results: Graft uptake was 92%. Blunting was noticed in 4% and medialisation in 4% of patients in circumferential group. Average air-bone gap closure achieved was 17.468 dB.Conclusions: Circumferential flap elevation in tympanoplasty is an effective surgical technique in patients with anterior and large central perforations with satisfactory outcomes.

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Section: Resultsmentioning

confidence: 99%

“…27 The disadvantages of medial graft are inadequate visualization of the anterior middle ear, possible anterior graft fall-away, reduction of middle ear space with consequent increased risk of adhesions, and less suitability for reconstruction of anterior perforation. 27…”

Section: Resultsmentioning

confidence: 99%

Outcomes of circumferential tympanomeatal flap tympanoplasty in large central perforation

Venkatesha

Yogeesha

khan

2018

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…We recommend that in patients who are unlikely to be compliant with long-term follow-up the risk of cholesteatoma be considered before performing IT. While the interlay technique may increase the risk of iatrogenic cholesteatoma, it is conceivable that the endoscopic approach avoids the albeit rare risk of iatrogenic cholesteatoma forming in the ear canal from inversion of the meatal skin flap as may occur with a postauricular approach (31).…”

Section: Discussionmentioning

confidence: 99%