Minimizing recidivism in cholesteatoma surgery by using canal wall down technique with endoscopic control
المؤلفون المشاركون
al-Bujayrimi, Muhammad A.
Mansur, Usamah I.
Abd al-Latif, Usama I.
al-Aqil, Abd al-Wasa S.
Rabi, Nabil A.
Ibrahim, Samir A.
المصدر
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
العدد
المجلد 9، العدد 2 (31 يناير/كانون الثاني 2008)، ص ص. 19-27، 9ص.
الناشر
الجمعية المصرية للأذن و الأنف و الحنجرة و العلوم المشتركة
تاريخ النشر
2008-01-31
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background.
Cholesteatoma surgery aims to prevent cholesteatoma recidivism (recurrent and residual disease), and to stabilize or improve hearing.
Controversies remain about canal wall up and canal wall down techniques.
Endoscopes have been used with canal wall up technique, whicli decreased recidivism but could not achieve complete eradication.
Purpose.
To evaluate the value of using otoendoscopy with canal wall down technique in minimizing cholesteatoma recidivism.
Study Design.
Prospective case series.
Methods.
A modified one stage technique for cholesteatoma surgery was used.
It included retrograde atticoantrotomy extending to mastoidectomy according to cholesteatoma extent, using endoscope to detect cholesteatoma in hidden areas and hence its removal, cartilage grafting with ossicular reconstruction, then partial cavity obliteration.
Second look surgery was done for patients with suspected recidivism.
Results.
Sixty patients (60 ears) were treated from middle ear cholesteatoma.
The age ranged from 6 to 55 years, 32 were males and 28 were females.
Preoperative endoscopic evaluation was able to detect cholesteatoma in 23.3% not seen even by microscopic examination.
Intraoperatively, endoscopes revealed hidden cholesteatoma after apparent complete removal by microscope in 72% of patients.
Second look suregry was needed for 11 patients (18.3%), and cholesteatoma recidivism was found only in 2 patients (3.3%).
Conclusion.
Using endoscopes with canal wall down mastoidectomy for cholesteatoma helped to achieve one of the lowest rates of recidivism, as it discovered and aided removing disease from hidden aiqas.
Cartilage grafting did not obscure recidivism: and may prevent recurrence as it resists retraction.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Rabi, Nabil A.& al-Bujayrimi, Muhammad A.& Mansur, Usamah I.& Ibrahim, Samir A.& Abd al-Latif, Usama I.& al-Aqil, Abd al-Wasa S.. 2008. Minimizing recidivism in cholesteatoma surgery by using canal wall down technique with endoscopic control. Egyptian Journal of Ear, Nose, Throat and Allied Sciences،Vol. 9, no. 2, pp.19-27.
https://search.emarefa.net/detail/BIM-534540
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Rabi, Nabil A.…[et al.]. Minimizing recidivism in cholesteatoma surgery by using canal wall down technique with endoscopic control. Egyptian Journal of Ear, Nose, Throat and Allied Sciences Vol. 9, no. 2 (Jan. 2008), pp.19-27.
https://search.emarefa.net/detail/BIM-534540
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Rabi, Nabil A.& al-Bujayrimi, Muhammad A.& Mansur, Usamah I.& Ibrahim, Samir A.& Abd al-Latif, Usama I.& al-Aqil, Abd al-Wasa S.. Minimizing recidivism in cholesteatoma surgery by using canal wall down technique with endoscopic control. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2008. Vol. 9, no. 2, pp.19-27.
https://search.emarefa.net/detail/BIM-534540
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 26-27
رقم السجل
BIM-534540
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر