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Canal Wall Down v/s Canal Wall Up

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Textbook of Otitis Media

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Abstract

The decision to choose between a canal wall-down (CWD) or canal wall-up (CWU) surgery for cholesteatoma presents a medical dilemma. Although extensively discussed in the literature, the topic remains controversial. Both techniques have powerful arguments in their favor, with the main objectives of surgical management being the complete eradication of the disease and prevention of recurrence and improvement of the patient’s hearing and quality of life, while minimizing future complications. In most cases, the surgeon’s decision is based on their personal experience and patient’s characteristics. Despite the ongoing debate, there is a tendency toward performing CWU over CWD surgery. This chapter provides an updated review of both surgical techniques, reconstruction methods, use of intraoperative endoscopes, and clinical outcomes. Additionally, it presents the preferences and opinions of expert otologists on both techniques.

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Authors and Affiliations

  1. Pontificia Universidad Católica de Chile, Santiago, Chile

    Jorge Caro, Jai-sen F. Leung & Phoebe H. Ramos

Authors
  1. Jorge Caro
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  2. Jai-sen F. Leung
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  3. Phoebe H. Ramos
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Editor information

Editors and Affiliations

  1. Department of Otolaryngology, Clínica Universidad de Los Andes, Santiago, Chile, USA

    Marcos V. Goycoolea

  2. Otolaryngology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

    Sady Selaimen da Costa

  3. Department of Otolaryngology, Tata Memorial Hospital, Mumbai, Maharashtra, India

    Chris de Souza

  4. Paparella Ear Head & Neck Institute, University of Minnesota, Minneapolis, MN, USA

    Michael M. Paparella

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Caro, J., Leung, Js.F., Ramos, P.H. (2023). Canal Wall Down v/s Canal Wall Up. In: Goycoolea, M.V., Selaimen da Costa, S., de Souza, C., Paparella, M.M. (eds) Textbook of Otitis Media. Springer, Cham. https://doi.org/10.1007/978-3-031-40949-3_55

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  • DOI: https://doi.org/10.1007/978-3-031-40949-3_55

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-40948-6

  • Online ISBN: 978-3-031-40949-3

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