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Canal Wall Down Timpanoplasty with Partial Mastoid Obliteration in Children and Adults Affected by Chronic Otitis Media with Cholesteatoma.

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Title: Canal Wall Down Timpanoplasty with Partial Mastoid Obliteration in Children and Adults Affected by Chronic Otitis Media with Cholesteatoma.
Authors: Guidi, Mariapaola1 mariapaola.guidi@meyer.it, Appiani, Mario Ciniglio2, Pollastri, Federica3, Reale, Marella1, Leone, Luca1, Caini, Saverio4, Trabalzini, Franco1
Source: Journal of International Advanced Otology. Jan2025, Vol. 21 Issue 1, p1-5. 5p.
Subject Terms: *EAR ossicles, *CHILDREN'S hospitals, *OTITIS media, *OLDER patients, *MASTOIDECTOMY, *TYMPANOPLASTY
Abstract: BACKGROUND: The aim of the study is to evaluate the incidence of recurrence of acquired cholesteatoma and functional outcomes in patients who underwent CWD tympanoplasty with cavity obliteration using an inferior-based musculoperiosteal flap. A comparison between children and adults was conducted. METHODS: All surgeries performed by the same expert surgeon from 2016 to 2019 were considered for the study. Patients younger than 18 years old, operated on at Meyer's Children Hospital, formed group A. Patients older than eighteen, operated on at Santo Stefano Hospital, formed group B. Clinical, audiological, and radiological data were collected from medical records. The Air Bone Gap (ABG) was used to assess the audiological results, and outpatient evaluations were considered to detect cases of recurrence. RESULTS: Group A and Group B are composed of 23 and 25 patients, respectively. The postoperative ABG is 30.7 dBHL in group A and 29.5 dBHL in group B. The rate of recurrence is 17.2% in children and 8% in adults. The recurrence of cholesteatoma occurred in five children (21.8%) after an average follow-up of 18 months and in three adults (12%) after an average follow-up of 24 months. CONCLUSION: The surgical approach to CCOM in children aims to be as conservative as possible. The greater extension of the pathology is correlated with a greater erosion of the ossicular chain. According to our experience, open tympanoplasty with the obliterative technique allows us to obtain good anatomical and audiological outcomes, both in adults and children. [ABSTRACT FROM AUTHOR]
Copyright of Journal of International Advanced Otology is the property of European Academy of Otology & Neuro-Otology / Europese Academie voor Otologie en Neuro-Otologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Canal Wall Down Timpanoplasty with Partial Mastoid Obliteration in Children and Adults Affected by Chronic Otitis Media with Cholesteatoma.
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  Data: <searchLink fieldCode="AR" term="%22Guidi%2C+Mariapaola%22">Guidi, Mariapaola</searchLink><relatesTo>1</relatesTo><i> mariapaola.guidi@meyer.it</i><br /><searchLink fieldCode="AR" term="%22Appiani%2C+Mario+Ciniglio%22">Appiani, Mario Ciniglio</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Pollastri%2C+Federica%22">Pollastri, Federica</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Reale%2C+Marella%22">Reale, Marella</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Leone%2C+Luca%22">Leone, Luca</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Caini%2C+Saverio%22">Caini, Saverio</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Trabalzini%2C+Franco%22">Trabalzini, Franco</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+International+Advanced+Otology%22">Journal of International Advanced Otology</searchLink>. Jan2025, Vol. 21 Issue 1, p1-5. 5p.
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  Data: *<searchLink fieldCode="DE" term="%22EAR+ossicles%22">EAR ossicles</searchLink><br />*<searchLink fieldCode="DE" term="%22CHILDREN'S+hospitals%22">CHILDREN'S hospitals</searchLink><br />*<searchLink fieldCode="DE" term="%22OTITIS+media%22">OTITIS media</searchLink><br />*<searchLink fieldCode="DE" term="%22OLDER+patients%22">OLDER patients</searchLink><br />*<searchLink fieldCode="DE" term="%22MASTOIDECTOMY%22">MASTOIDECTOMY</searchLink><br />*<searchLink fieldCode="DE" term="%22TYMPANOPLASTY%22">TYMPANOPLASTY</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: BACKGROUND: The aim of the study is to evaluate the incidence of recurrence of acquired cholesteatoma and functional outcomes in patients who underwent CWD tympanoplasty with cavity obliteration using an inferior-based musculoperiosteal flap. A comparison between children and adults was conducted. METHODS: All surgeries performed by the same expert surgeon from 2016 to 2019 were considered for the study. Patients younger than 18 years old, operated on at Meyer's Children Hospital, formed group A. Patients older than eighteen, operated on at Santo Stefano Hospital, formed group B. Clinical, audiological, and radiological data were collected from medical records. The Air Bone Gap (ABG) was used to assess the audiological results, and outpatient evaluations were considered to detect cases of recurrence. RESULTS: Group A and Group B are composed of 23 and 25 patients, respectively. The postoperative ABG is 30.7 dBHL in group A and 29.5 dBHL in group B. The rate of recurrence is 17.2% in children and 8% in adults. The recurrence of cholesteatoma occurred in five children (21.8%) after an average follow-up of 18 months and in three adults (12%) after an average follow-up of 24 months. CONCLUSION: The surgical approach to CCOM in children aims to be as conservative as possible. The greater extension of the pathology is correlated with a greater erosion of the ossicular chain. According to our experience, open tympanoplasty with the obliterative technique allows us to obtain good anatomical and audiological outcomes, both in adults and children. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of International Advanced Otology is the property of European Academy of Otology & Neuro-Otology / Europese Academie voor Otologie en Neuro-Otologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.5152/iao.2025.241464
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      – Code: eng
        Text: English
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        PageCount: 5
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      – SubjectFull: EAR ossicles
        Type: general
      – SubjectFull: CHILDREN'S hospitals
        Type: general
      – SubjectFull: OTITIS media
        Type: general
      – SubjectFull: OLDER patients
        Type: general
      – SubjectFull: MASTOIDECTOMY
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      – SubjectFull: TYMPANOPLASTY
        Type: general
    Titles:
      – TitleFull: Canal Wall Down Timpanoplasty with Partial Mastoid Obliteration in Children and Adults Affected by Chronic Otitis Media with Cholesteatoma.
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            NameFull: Guidi, Mariapaola
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            NameFull: Appiani, Mario Ciniglio
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            NameFull: Leone, Luca
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              Text: Jan2025
              Type: published
              Y: 2025
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