FREE FULL TEXTAnahtar Kelimeler: Kolesteatom; kronik otitis media; işitme;revizyon.
Objectives: In patients who underwent primary and
revision surgery for chronic otitis media, the types of
revision surgery, most frequently observed regions of
cholesteatoma, hearing results and the status of graft
membrane were evaluated.
Patients and Methods: Forty-three of 495 patients
(21 males, 22 females; mean age 38.4±15.2 years; range
15 to 76 years) with chronic otitis media who underwent
revision surgery in our clinic between May 2003 and
March 2009 were evaluated retrospectively. Indications
for revision surgery were recurrence of the disease in
32 patients (74.4%) and reconstruction of hearing in 11
patients (25.6%). Forty patients (93.0%) underwent revision
surgery once and three patients (7.0%) underwent
revision twice. Over an average of 3.2 (range 1 to 6)
years follow-up after primary and revision surgery, the
types of revision surgery, the most frequently observed
regions of cholesteatoma, hearing results and the status
of graft membrane were assessed.
Results: Recurrence of cholesteatoma in revision surgery
was seen in 28 patients (65.1%). Out of 27 patients, 23
patients (85.1%) showed intact graft membranes and four
patients (14.8%) showed perforated graft membranes.
Conclusion: In revision surgery, the first goal is to
eliminate the disease. The management of chronic
otitis media with cholesteatoma is surgery. Because of
high postoperative recurrence rates, long-term followup