Impact of Staging the Procedure on Audiological Results in Canalwalldown Surgery for Cholesteatoma

Abstract

Cholesteatoma is a progressive destructive ear disease. Can affect any age group. But more severe in children and young adults. It erodes the bone of middle ear, mastoid and ossicles. It causes partial to total deafness, unpleasant smelling discharge, pain, tinnitus, vertigo and facial paralysis. It can even cause meningitis, brain abscess and death. Canal wall down surgery is 95% effective in removing the disease and prevents recurrence of cholesteatoma. When the disease can be completely cleared to the satisfaction of the surgeon, reconstruction can be undertaken in the same sitting. When this cannot be done, reconstruction should be postponed to a later date. Staging of tympanoplasty gives a chance to relook and clear residual disease. There is lack of data on audiological outcome caused by such staging of reconstruction. So we would like to undertake the study to know the specific role of staging in improving audiological outcome.