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The Problem of the Hidden Primary Cholesteatoma in Tympanoplasty

The Problem of the Hidden Primary Cholesteatoma in Tympanoplasty Abstract Modern otological care and antibiotics seem to have changed the occurrence of cholesteatomas. Secondary Cholesteatomas, accompanying severe infection, and resulting destruction by osteitis seem to have decreased in number of occurrences, but primary and rather rare genuine cholesteatomas are as frequent as before. Because of so few instances of destruction by inflammation, they tend to grow into depths of petrous pyramid. The best method of early direct exposure, enucleation of cholesteatoma sac, individual conservative adaptation of surgery, and complete reconstruction of middle ear as well as external meatus is the so-called osteoplastic epitympanotomy. References 1. Cawthorne T: Congenital cholesteatoma . Arch Otolaryngol 78:248-252, 1963.Crossref 2. Derlacki EL, Harrison WH, Clemis JD: Congenital cholesteatoma of the middle ear and mastoid: A second report presenting seven additional cases . Laryngoscope 78:1050-1078, 1968.Crossref 3. Rüedi L: Acquired cholesteatoma . Arch Otolaryngol 78:252-261, 1963.Crossref 4. Schwarz M: Das Cholesteatom im Gehörgang und im Mittelohr . Stuttgart, West Germany, Thieme Verlag, 1966. 5. Wullstein HL: Die Klinik der Labyrinthitis und Paralabyrinthitis auf Grund des Röntgenbefundes . Stuttgart, West Germany, Thieme Verlag, 1948. 6. Wullstein HL et al: Operationen zur Verbesserung des Gehöres: Grundlagen und Methoden . Stuttgart, West Germany, Thieme Verlag, 1968. 7. Wullstein SR: Der Röntgenbefund des Pyramidencholesteatoms im Früh- und Spätstadium. Read before the Fifth International Symposium of Radiology in Otorhinolaryngology, Würzburg, West Germany, 1970. 8. Hammar JA: Arch Mikrobiol Anat 59:471-628, 1902. 9. Sobotta J: Atlas der deskriptiven Anatomie des Menschen , ed 3. Munich, West Germany, JF Lehmann Verlag, 1920, vol 3. 10. Pernkopf E: Topographische Anatomie des Menschen . Munich, West Germany, Urban & Schwarzenberg, 1960, vol 4 ( (pt 2) ). 11. Proctor B: The development of the middle ear spaces and their surgical significance . J Laryng Otol 78:631-647, 1964.Crossref 12. Proctor B: Surgical anatomy of the posterior tympanum . Ann Otol Rhinol Laryngol 78:1026-1040, 1969. 13. Wullstein HL: Die Eingriffe zur Gehörverbesserung , in Uffenorde W (ed): Anzeige und Ausführung der Eingriffe an Ohr, Nase und Hals , ed 2. Stuttgart, West Germany, Thieme Verlag, 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

The Problem of the Hidden Primary Cholesteatoma in Tympanoplasty

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1973 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1973.00780010200024
Publisher site
See Article on Publisher Site

Abstract

Abstract Modern otological care and antibiotics seem to have changed the occurrence of cholesteatomas. Secondary Cholesteatomas, accompanying severe infection, and resulting destruction by osteitis seem to have decreased in number of occurrences, but primary and rather rare genuine cholesteatomas are as frequent as before. Because of so few instances of destruction by inflammation, they tend to grow into depths of petrous pyramid. The best method of early direct exposure, enucleation of cholesteatoma sac, individual conservative adaptation of surgery, and complete reconstruction of middle ear as well as external meatus is the so-called osteoplastic epitympanotomy. References 1. Cawthorne T: Congenital cholesteatoma . Arch Otolaryngol 78:248-252, 1963.Crossref 2. Derlacki EL, Harrison WH, Clemis JD: Congenital cholesteatoma of the middle ear and mastoid: A second report presenting seven additional cases . Laryngoscope 78:1050-1078, 1968.Crossref 3. Rüedi L: Acquired cholesteatoma . Arch Otolaryngol 78:252-261, 1963.Crossref 4. Schwarz M: Das Cholesteatom im Gehörgang und im Mittelohr . Stuttgart, West Germany, Thieme Verlag, 1966. 5. Wullstein HL: Die Klinik der Labyrinthitis und Paralabyrinthitis auf Grund des Röntgenbefundes . Stuttgart, West Germany, Thieme Verlag, 1948. 6. Wullstein HL et al: Operationen zur Verbesserung des Gehöres: Grundlagen und Methoden . Stuttgart, West Germany, Thieme Verlag, 1968. 7. Wullstein SR: Der Röntgenbefund des Pyramidencholesteatoms im Früh- und Spätstadium. Read before the Fifth International Symposium of Radiology in Otorhinolaryngology, Würzburg, West Germany, 1970. 8. Hammar JA: Arch Mikrobiol Anat 59:471-628, 1902. 9. Sobotta J: Atlas der deskriptiven Anatomie des Menschen , ed 3. Munich, West Germany, JF Lehmann Verlag, 1920, vol 3. 10. Pernkopf E: Topographische Anatomie des Menschen . Munich, West Germany, Urban & Schwarzenberg, 1960, vol 4 ( (pt 2) ). 11. Proctor B: The development of the middle ear spaces and their surgical significance . J Laryng Otol 78:631-647, 1964.Crossref 12. Proctor B: Surgical anatomy of the posterior tympanum . Ann Otol Rhinol Laryngol 78:1026-1040, 1969. 13. Wullstein HL: Die Eingriffe zur Gehörverbesserung , in Uffenorde W (ed): Anzeige und Ausführung der Eingriffe an Ohr, Nase und Hals , ed 2. Stuttgart, West Germany, Thieme Verlag, 1952.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Feb 1, 1973

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