CC BY-NC-ND 4.0 · Laryngorhinootologie 2020; 99(S 02): S320
DOI: 10.1055/s-0040-1711295
Poster
Otology

Analysis of cholesteatoma cases for a 6 year period (2012-2017) in Otolaryngology Clinic – University Clinical Centre Kosovo

M Sefa
1   ORL Medicus, Otorhinolaryngology Gjakova Kosovo
,
A Sefa
2   Occupational Health institute of Kosovo, Otolaryngology Gjakova Kosovo
› Institutsangaben
 

Introduction Cholesteatoma is a noncancerous lesion, which derivatives from an abnormal growth of keratinizing squamous epithelium in the temporal bone. Cholesteatomas can be classified as: 1.Congenital cholesteatoma which is formed behind an intact eardrum and the patient has no history of otitis media or previous otologic procedures 2. Acquired cholesteatomas which is usually formed as a result of chronic middle ear disease.

MethodsThis retrospective study analyzed distribution of gender,age,lateralisation and recurrence of 238 cholesteatoma surgeries performed at an academic tertiary care center over a six year period. Also this study analyzed the frequency of different approaches in these cholesteatoma cases.

ResultsOut of 1030 cases operated in the otology department for a period of 6 years, it results that 238 (23.10 %) cases were operated as cholesteatoma cases.The age range was from 13 – 75 years.Gender distribution was almost equal for both males (133) and females (105).Cholesteatoma was found with the same frequency in both ears (117 right,117 left ) and 4 cases were diagnosed with bilateral cholesteatomas. Out of the total number 46 cases were reoperations as a result of cholesteatoma recurrence. The most used techniques were Canal wall down mastoidectomy with tip 1 timpanoplasty 121 (50.84 %), Canal wall down mastoidectomy 34 (14.28 %), Canal wall up mastoidectomy 41(17.22 %). 21 (8.82 %) cases were treated conservatively as a consequence of contraindications for surgery or patient's disapproval to undergo a surgery.

CONCUSION : Cholesteatoma cases are the second most common cases after simplex chronic ototis media . The most commonly used technique in our clinic for treating cholesteatoma cases is “Canal wall down” technique.

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10. Juni 2020

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