Aktuelle Aspekte der Cholesteatomchirurgie – Teil 2: chirurgische Therapie im Wandel der Zeit

Abstract

Due to cholesteatoma's slowly progressive and destructive growth there is a risk of intracranial and potentially life-threatening complications. That's why every cholesteatoma is a basically absolute indication for surgery. Only asymptomatic and small retractions, so-called prae-cholesteatomas, may be under observation. While the first part of this article focused on the basics of pathogenesis and diagnostics, this one provides an overview of current surgical strategies, both proven and new ones.

Cholesteatome sind stets mit dem Risiko intrakranieller, potenziell lebensbedrohlicher Komplikationen behaftet, weswegen sie grundsätzlich eine absolute OP-Indikation darstellen. Nur asymptomatische und überschaubare Retraktionen, sog. Prächolesteatome, können ggf. beobachtet werden. Während der 1. Teil die Grundlagen zu Pathogenese und Diagnostik beleuchtete, stellt der folgende Beitrag derzeitige, bewährte wie auch neue, operative Strategien vor.

Schlüsselwörter

Cholesteatom - Gehörgangscholesteatom - Chirurgie - Kinder - Endoskopie - Rekonstruktion - Rezidivcholesteatom - Residualcholesteatom

Key words

ear - cholesteatoma - surgery - petrous bone destruction - children - endoscopy - reconstructive surgery

Publication History

Article published online:
18 June 2020

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