Analysis of cholesteatoma cases for a 6 year period (2012-2017) in Otolaryngology Clinic – University Clinical Centre Kosovo

Introduction Cholesteatoma is a noncancerous lesion, which derivatives from an abnormal growth of keratinizing squamous epithelium in the temporal bone. Cholesteatomas can be classified as: 1.Congenital cholesteatoma which is formed behind an intact eardrum and the patient has no history of otitis media or previous otologic procedures 2. Acquired cholesteatomas which is usually formed as a result of chronic middle ear disease.

MethodsThis retrospective study analyzed distribution of gender,age,lateralisation and recurrence of 238 cholesteatoma surgeries performed at an academic tertiary care center over a six year period. Also this study analyzed the frequency of different approaches in these cholesteatoma cases.

ResultsOut of 1030 cases operated in the otology department for a period of 6 years, it results that 238 (23.10 %) cases were operated as cholesteatoma cases.The age range was from 13 – 75 years.Gender distribution was almost equal for both males (133) and females (105).Cholesteatoma was found with the same frequency in both ears (117 right,117 left ) and 4 cases were diagnosed with bilateral cholesteatomas. Out of the total number 46 cases were reoperations as a result of cholesteatoma recurrence. The most used techniques were Canal wall down mastoidectomy with tip 1 timpanoplasty 121 (50.84 %), Canal wall down mastoidectomy 34 (14.28 %), Canal wall up mastoidectomy 41(17.22 %). 21 (8.82 %) cases were treated conservatively as a consequence of contraindications for surgery or patient's disapproval to undergo a surgery.

CONCUSION : Cholesteatoma cases are the second most common cases after simplex chronic ototis media . The most commonly used technique in our clinic for treating cholesteatoma cases is “Canal wall down” technique.

Poster-PDF A-1084.PDF

Publication History

Article published online:
10 June 2020