Skull Base 2008; 18(5): 353-359
DOI: 10.1055/s-0028-1086054
CASE REPORT

© Thieme Medical Publishers

Giant Cholesteatoma: Recommendations for Follow-up

Leontien I. Geven1 , Jef J.S Mulder2 , Kees Graamans2
  • 1Department of Otorhinolaryngology, University Medical Center Groningen, Groningen, The Netherlands
  • 2Department of Otorhinolaryngology and Head and Neck Surgery Radboud University Nijmegen Medical Centre Nijmegen, The Netherlands
Further Information

Publication History

Publication Date:
04 September 2008 (online)

ABSTRACT

This report presents the management of five patients who presented with giant recurrent or residual cholesteatoma after periods of 2 to 50 years. Their case histories are highly diverse, but all provide evidence of the need for long-term follow-up.

REFERENCES

  • 1 Kapur T R, Jayarmachandran S. Management of acquired cholesteatoma of the middle ear and the mastoid by combined approach tympanoplasty: a long-term view.  Clin Otolaryngol Allied Sci. 1997;  22 57-61
  • 2 Kinney S E. Intact canal wall tympanoplasty with mastoidectomy for cholesteatoma: long term follow-up.  Laryngoscope. 1988;  98 1190-1194
  • 3 Lau T, Tos M. Cholesteatoma in children. Recurrence related to observation period.  Am J Otolaryngol. 1987;  8 364-375
  • 4 Vartiainen E. Ten-years result of canal wall down mastoidectomy for acquired cholesteatoma.  Auris Nasus Larynx. 2000;  27 227-229
  • 5 Tos M, Lau T. Attic cholesteatoma. Recurrence rate related to observation time.  Am J Otol. 1988;  9 456-464
  • 6 Kaylie D M, Gardner E K, Jackson C G. Revision chronic ear surgery.  Otolaryngol Head Neck Surg. 2006;  134 443-450
  • 7 Lau T, Tos M. Treatment of sinus cholesteatoma. Long-term results and recurrence rate.  Arch Otolaryngol Head Neck Surg. 1988;  114 1428-1434
  • 8 Silvola J, Palva T. One-stage revision surgery for paediatric cholesteatoma: long-term results and comparison with primary surgery.  Int J Pediatr Otorhinolaryngol. 2000;  56 135-139
  • 9 Ahn S H, Oh S H, Chang S O, Kim C S. Prognostic factors of recidivism in pediatric cholesteatoma surgery.  Int J Pediatr Otorhinolaryngol. 2003;  67 1325-1330
  • 10 House J W, Brackmann D E. Facial nerve grading system.  Otolaryngol Head Neck Surg. 1985;  93 146-147
  • 11 Karmarkar S, Bhatia S, Saleh E et al.. Cholesteatoma surgery: the individualized technique.  Ann Otol Rhinol Laryngol. 1995;  104 591-595
  • 12 O'Leary S, Veldman J E. Revision surgery for chronic otitis media: recurrent-residual disease and hearing.  J Laryngol Otol. 2002;  116 996-1000
  • 13 Williams M T, Ayache D. Imaging of the postoperative middle ear.  Eur Radiol. 2004;  14 482-495
  • 14 Vanden Abeele D, Coen E, Parizel P M, Van de Heyning P. Can MRI replace a second look operation in cholesteatoma surgery?.  Acta Otolaryngol. 1999;  119 555-561
  • 15 Williams M T, Ayache D, Alberti C et al.. Detection of postoperative residual cholesteatoma with delayed contrast-enhanced MR imaging: initial findings.  Eur Radiol. 2003;  13 169-174
  • 16 Aikele P, Kittner T, Offergeld C, Kaftan H, Hüttenbrink K-B, Laniado M. Diffusion-weighted MR imaging of cholesteatoma in pediatric and adult patients who have undergone middle ear surgery.  AJR Am J Roentgenol. 2003;  181 261-265
  • 17 Vercruysse J P, De Foer B, Pouillon M, Somers T, Casselman J, Offeciers E. The value of diffusion-weighted MR imaging in the diagnosis of primary acquired and residual cholesteatoma: a surgical verified study of 100 patients.  Eur Radiol. 2006;  16 1461-1467
  • 18 De Foer B, Vercruysse J P, Pilet B et al.. Single-shot, turbo spin-echo, diffusion-weighted imaging versus spin-echo-planar, diffusion-weighted imaging in the detection of acquired middle ear cholesteatoma.  AJNR Am J Neuroradiol. 2006;  27 1480-1482
  • 19 Jeunen G, Desloovere C, Hermans R, Vandecaveye V. The value of magnetic resonance imaging in the diagnosis of residual or recurrent acquired cholesteatoma after canal wall-up tympanoplasty.  Otol Neurotol. 2008;  29 16-18

Kees GraamansM.D. Ph.D. 

Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Nijmegen

Medical Centre, Nijmegen, The Netherlands

Email: k.graamans@kno.umcn.nl