Report on the results of ear cholesteatoma surgery

Abstract Background: Cholesteatoma defined as the epidermal inclusion cyst of middle ear includes 36% of pathologies of the patients suffering from chronic otomastoid. Choosing an appropriate surgical technique to eradicate cholesteatoma seems to be necessary. Objective: To evaluate the results of surgical techniques for ear cholesteatoma. Methods: The study was carried out on 34 patients (Tabriz, 1998-2000) using symptoms, physical visit and Schuler and town graphy before operation cholesteatoma was diagnosed. While during the operation, it was seen in 80% of the cases & there was no diagnosis in other cases (20%). Findings: All the patients had ear stench secretion and guidance auditory reduction and the most prevalent clinical finding was ear polyp along with cholesteatoma (14 cases). In 79.4% of the cases, tympanomastoidectomy canal wall down technique was suggested which regarding during-operation finding was applied. While in 5.8% the suggested technique was tympanomastoidectomy canal wall up and it was applied in 20.5% of the patients. Conclusion: The extent of disease can be diagnosed definitely during the surgical operation on the basis of which the appropriate technique is choosed.