Abstract
The ideal surgical treatment for middle ear cholesteatoma is to create a re-pneumatized middle ear cavity from the Eustachian tube to the mastoidectomy cavity. The canal wall up technique is advantageous in this regard although its reliability for the prevention of cholesteatoma recurrences has always been subject to controversy. This paper describes the surgical concepts to create a communication route from the protympanum to the attic by widening the tympanic isthmus with anterior tympanotomy. Removal of the incus and the head of the malleus helps to maintain its patency in ears with a poorly developed supratubal recess. Erosion of the scutum should be repaired using autologous cartilage. We apply staging operation with placement of silicon sheeting in the middle ear space in ears with irreversibly diseased or absent middle ear mucosa.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
