Walker et al. 77 Walker PC, Mowry SE, Hansen MR, Gantz BJ. Long-term results of canal wall reconstruction tympanomastoidectomy. Otol Neurotol 2014;35(6):954-960
|
Retrospective Case-series |
4 |
285 ears in 273 patients |
PCW took off and replaced + oblit of attic and mastoid with bone pate and chips |
Median 3.16 years(Followed 95.4%) |
253 ears made 2 ndlook ossiculoplasty with 12% of residual chol. 5.9% needed a secondary atticotomy to improve acces for debridement.7 (2.6%) recurrent chol. |
7 ears (2.6%) |
Edfeldt et al. 99 Edfeldt L, Strömbäck K, Kinnefors A, Rask-Andersen H. Surgical treatment of adult cholesteatoma: long-termfollow-up using total reconstruction procedurewithout staging. Acta Otolaryngol 2013; 133(1):28-34
|
Retrospective Case-series |
4 |
330 ears in 301 patients aged >12 years |
PCW removed and reconstructed with cartilage and cortical bone. Oblit with bone paste and cartilage. OCR at same stage with bone/incus. |
6 years |
Recurrent Chol 10%; Residual Chol 3%;Dry Ear 99%Water resistant 92% |
not informed |
Edfeldt et al. 1010 Edfeldt L, Kinnefors A, Strömbäck K, Köbler S, Rask-Andersen H. Surgical treatment of paediatric cholesteatoma: long-term follow up in comparisonwith adults. Int J Pediatr Otorhinolaryngol 2012; 76(8):1091-1097
|
Retrospective Case-series |
4 |
57 Children with chol (mean age 8.2 years)(5 CCH) |
PCW removed and reconstructed with cartilage and cortical bone. Oblit with bone paste and cartilage. OCR at same stage with bone/incus. |
6 years |
Recurrent chol 12%; residual chol 5%; dry ear and water resistance after 6 years 100% |
none |
Mokbel and Khafagy 1111 Mokbel KM, Khafagy YW. Single flap with three pedicles, bone pate and split-thickness skin graft for immediate mastoid obliteration after canal wall down mastoidectomy. Eur Arch Otorhinolaryngol 2012;269(9):2037-2041
|
Prospective Case-series |
4 |
100 patients and ears |
CWD mastoidectomy. Oblit: Bone pâté + musculoperiosteal flap and split-thickness skin graft |
12 (100%) -72 months (52%) |
At 12 months: completely dry: 78%; persistent discharge: 6%At 6 years: 100% dry |
none |
Kronenberg et al. 1212 Kronenberg J, Shapira Y, Migirov L. Mastoidectomy reconstruction of the posterior wall and obliteration (MAPRO): preliminary results. Acta Otolaryngol 2012;132(4):400-403
|
Retrospective Case-series |
4 |
18 Adults and 31 Children |
PCW took off and replaced + oblit of attic and mastoid with bone pate and cartilage |
Mean 28 months |
Recurrent Chol detected on MRI in 12%, only in tympanic cavity. 77.8% water-safe |
none |
Sun et al 1313 Sun J, Sun J, Hu Y, et al. Canal wall-down mastoidectomy with mastoid obliteration for pediatric cholesteatoma. Acta Otolaryngol 2010;130(2):259-262
|
Retrospective Case-series |
4 |
48 ears in 45 children (5–12 years) |
CWD mastoidectomy with oblit with cartilage and bone paste + temporalis fascia |
2–5 years (mean 3,1) |
Residual chol: 0%; Recurrent chol: 4.2%; Dry ear 95.8% |
none |
Beutner et al 1414 Beutner D, Helmstaedter V, Stumpf R, et al. Impact of partial mastoid obliteration on caloric vestibular function in canal wall down mastoidectomy. Otol Neurotol 2010;31(9):1399-1403
|
Retrospective Case-series |
4 |
26 patients with previous CWD mastoidectomy |
Bone pate + conchal cartilage plates and fascia |
6 years Mean follow-up |
100% epithelialized and dry.Before surgery 54% had vertigo on caloric stimuli; none had it after. 0% chol |
none |
Ramsey et al 1515 Ramsey MJ, Merchant SN, McKenna MJ. Postauricular periostealpericranial flap for mastoid obliteration and canal wall down tympanomastoidectomy. Otol Neurotol 2004;25(6):873-878
|
Retrospective Case-series |
4 |
60 ears(59 patients) |
Bone pate + inferiorly pedicled periosteal flap + split-thickness skin grafting |
>12 months(mean: 31 months) |
No cholesteatomas82% dry; 8% intermittent discharge; 6 ears(10%) frequent discharge within 4 had meatal stenosis |
none |
Roberson et al 22 Roberson JB Jr, Mason TP, Stidham KR. Mastoid obliteration: autogenous cranial bone pate reconstruction. Otol Neurotol 2003;24(2):132-140
|
Retrospective Case-series |
4 |
62 ears(56 patients) |
Bone pate + fascia graft |
Average 18,5 months(0.2–54.8 months) |
6% residual Chol, none after second stage surgery.87% dry cavity;5% had pate resorption after early infection. |
none |