Use of mastoid obliteration techniques in cholesteatoma

作者：Yung Matthew^*; Bennett Alex

来源：Current Opinion in Otolaryngology & Head and Neck Surgery, 2013, 21(5): 455-460.

DOI：10.1097/MOO.0b013e3283646521

• cholesteatoma
• mastoid obliteration
• mastoid obliteration complications
• mastoid obliteration flaps
• mastoid obliteration materials
• MRI

Purpose of reviewTo evaluate the choice of techniques, safety and long-term outcome of mastoid obliteration and assess the place of imaging in the postoperative monitoring of residual cholesteatoma.Recent findingsAll recent reports on mastoid obliteration for the management of cholesteatoama were favourable. Long-term follow-up reports did not show problems arising from hidden cholesteatoma, even for the paediatric population. Non-EPI DW MR imaging has shown great promise in detecting residual cholesteatoma in obliterated cavities.SummaryCanal wall down technique with primary mastoid obliteration for cholesteatoma has low recurrent and residual cholesteatoma rates. Most ears remained dry and waterproof on long-term follow-up.

• 出版日期2013-10