Zusammenfassung
Die Rezidivhäufigkeit (40–60%), die bei der Nachuntersuchung von Cholesteatomoperationen mit geschlossener Technik festgestellt wurde, verlangt konsequent die operative Revision, die in der Regel klein gehalten werden kann. Die große Rezidivhäufigkeit bei Kindern erfordert dagegen bei Anwendung dieser Technik eine ausgedehnte operative Kontrolle. Ist eine solche Kontrolle nicht möglich, so sollte sofort die offene Technik angewendet werden.
Summary
The frequency of recurrences (40%–60%) found during follow-up of closed technique for cholesteatoma surgery suggests that this technique should be systematically carried out in two stages. The greater frequency of recurrence in children indicates the necessity for revision surgery when the closed technique has been used. Where for some reason this cannot be undertaken, the open technique should be chosen at the outset. In case of revision, the safety offered by the closed technique is comparable with that obtained by the open technique and the rate of recurrence would be less than 5%.
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MD, Lecturer at the University of Louvain
MD, S.H.O., ENT department
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Gersdorff, M., Hamoir, M. Cholesteatoma surgery of the middle ear: Reflections on recurrences. Arch Otorhinolaryngol 237, 77–82 (1982). https://doi.org/10.1007/BF00453720
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DOI: https://doi.org/10.1007/BF00453720