Recurrence of Cholesteatoma - A Retrospective Study Including 1,006 Patients for More than 33 Years: Abstract Introduction Cholesteatomas are benign tumors consisting of skin, and growing inside a retraction pocket in the tympanic membrane. Cholesteatomas can occupy the entirety of the middle ear, and are known for their osteolytic capabilities. Surgery is the only curative treatment for cholesteatomas. Objective To describe the risk of recurrence after first-time surgically-treated middle- ear cholesteatoma (STMEC1) on the island of Funen from 1983 to 2015. Methods Cases of STMEC1 were identified in the Danish National Hospital Register. The medical records were reviewed. Time-to-event analyses were applied. The ears were followed from STMEC1 to a secondary cholesteatoma, emigration, death, or end of follow-up. Results Records from 1,006 patients with STMEC1 were reviewed. A total of 54 patients were submitted to surgery on both ears. The total sample consisted of 1,060 ears with STMEC1; 300 were children’s (< 16 years) ears, and 760 were adult’s ears. The total observation time was of 12,049 years. The overall estimated proportion with recurrence 5 years after surgery was of 37% in children and of 15% in adults. The older the child was at the first surgery, the risk decreased by 7% per year. In children, canal wall up (CWU) mastoidectomy without obliteration was associated with a hazard ratio for recurrence of 1.9 (95% confidence interval [95%CI]: 1.2-3.0) compared with CWU with obliteration. Conclusion Compared with adults, children were had 2.6 times more risk of recurrence. Procedures performed without mastoidectomy had the lowest risk of recurrence. In children, obliteration was associated with a significantly lower risk of recurrence. However, patients were not randomized regarding the surgical approach; thus, the association between approach and risk of recurrence was likely influenced by confounding factors.
Medicine RSS-Feeds by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com
Πληροφορίες
Κυριακή 16 Φεβρουαρίου 2020
Recurrence of Cholesteatoma - A Retrospective Study Including 1,006 Patients for More than 33 Years
Αναρτήθηκε από
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
στις
10:23 μ.μ.
Ετικέτες
00302841026182,
00306932607174,
alsfakia@gmail.com,
Anapafseos 5 Agios Nikolaos 72100 Crete Greece,
Medicine by Alexandros G. Sfakianakis,
Telephone consultation 11855 int 1193
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Αρχειοθήκη ιστολογίου
-
►
2023
(366)
- ► Φεβρουαρίου (184)
- ► Ιανουαρίου (182)
-
►
2022
(2814)
- ► Δεκεμβρίου (182)
- ► Σεπτεμβρίου (213)
- ► Φεβρουαρίου (264)
- ► Ιανουαρίου (262)
-
►
2021
(3815)
- ► Δεκεμβρίου (229)
- ► Σεπτεμβρίου (276)
- ► Φεβρουαρίου (64)
-
▼
2020
(5754)
- ► Δεκεμβρίου (401)
- ► Σεπτεμβρίου (365)
-
▼
Φεβρουαρίου
(754)
-
▼
Φεβ 16
(109)
- Medicine by Alexandros G. Sfakianakis,Anapafseos 5...
- Bupivacaine vs. lidocaine: a comparison of local a...
- Modification of collagen-based sponges can induce ...
- Outcome of Salvage Therapy in Isolated Regional Re...
- Outcomes and Predictive Value of Post‐adjuvant The...
- 3D Printed Fistula Plug: A Novel Bridge to Definit...
- Patient Safety and Quality Improvement in Otolaryn...
- Fibro‐osseous Lesions of Paranasal Sinus and Crani...
- Additional Injection Laryngoplasty for Patients Wi...
- A Novel Technique for the Diagnosis and Management...
- Topical 5-aminolevulinic acid-mediated photodynami...
- Synthesis of folic acid conjugated photoluminescen...
- Évaluation fonctionnelle des reconstructions laryn...
- Influence de la technique chirurgicale sur la loca...
- Activation immédiate des implants cochléaires : ét...
- Localisation azimutale de stimuli sonores variés d...
- Évaluation de la robotisation de la chirurgie tran...
- Étude anatomo-radiologique de l’usage du lambeau n...
- Manifestations rhinologiques liées à la prise nasa...
- Imagerie IRM de l’endolymphe : apport de la visual...
- Recommandations de bonnes pratiques de la SFORL lo...
- Récidive multifocale sur la voie d’abord trans-axi...
- Le diverticule pharyngé : une complication iatrogè...
- Une surdité brusque bilatérale, secondaire à une h...
- Mycoplasme hominis et adénopathie cervicale de car...
- Transfert ganglionnaire vascularisé par lambeau li...
- Can Osteopenia Induce Residual Dizziness After Tre...
- Evaluation of Insertion Forces and Cochlea Trauma ...
- On-Demand and Low Dose Intratympanic Gentamicin fo...
- Early Prelingual Auditory Development of Infants a...
- Speech Perception Gap Is Predictive of an Active M...
- What Genes Can Tell: A Closer Look at Vestibular S...
- Evaluating the Decision for Cochlear Implantation ...
- Establishing Genotype–phenotype Correlation in USH...
- Binaural Hearing Rehabilitation Improves Speech Pe...
- Supra-Threshold Hearing Sensitivity Disorders and ...
- Tracheostomy Tube as Foreign Body in Right Main Br...
- Open rhinoplasty using a columellar strut: effects...
- Beyond Nodules-Diagnostic and Treatment Options in...
- Videolaryngoscope-assisted flexible intubation tra...
- Effects of Intracordal Estradiol and Dexamethasone...
- Endoscopic Partial Arytenoidectomy for Bilateral V...
- New Vocal Fold-shortening Procedure: External Appr...
- Effects of Gender-confirming Pitch-raising Surgery...
- Investigating Laryngeal "Tilt" on Same-pitch Phona...
- High-fidelity continuum modeling predicts avian vo...
- Durable therapeutic gain despite competing mortali...
- Radiotherapy for Cervical Esophageal Squamous Cell...
- Clinical outcomes for larynx patients with cancer ...
- Successful transoral videolaryngoscopic surgery fo...
- Quantitative three-dimensional computed tomography...
- Auditory temporal processing assessment in childre...
- Lifestyle-related factors differentiating the prev...
- Aerodynamic and acoustic characteristics of voice ...
- Is the spontaneous speech of 7-year-old cochlear i...
- Renal Anomalies and Microtia: Determining the Clin...
- Mitomycin C in the Endoscopic Treatment of Laryngo...
- Lateral-Expansion Pharyngoplasty: Combined Techniq...
- Severe Dizziness Related to Postural Instability, ...
- Prevalence of Mild Hearing Loss in Schoolchildren ...
- Pure-Tone Hearing Thresholds and Brainstem Auditor...
- A Comparative Study of Endoscopic versus Microscop...
- The Difference in Thyroid Stimulating Hormone Leve...
- The Role of Magnetic Resonance Imaging of the Temp...
- Intraoperative Use of Analgesics in Tonsillar Foss...
- Profile of Laryngeal Microsurgeries in Patients Ove...
- Otoprotection Mechanisms Against Oxidative Stress ...
- In Vivo Computed Tomography Direct Volume Renderin...
- Salivary Gland Disorders in Children and Adolescen...
- Facial Clinimetric Evaluation Scale and Synkinesis...
- Recurrence of Cholesteatoma - A Retrospective Stud...
- Facial Nerve Intraoperative Monitoring in Otologic...
- Application of Cervical Vestibular-Evoked Myogenic...
- Surgery for necrotizing otitis externa-indications...
- 3D-structural change of nasopharynx following aden...
- Preoperative intra-arterial chemotherapy with doce...
- Efficacy of regenerative therapy in aggressive per...
- Gingival crevicular fluid levels of interleukin-18...
- Surgical anatomy of the facial nerve: from middle ...
- Assessment of auditory working memory in children ...
- Efficacy and safety of delivery of topical medicat...
- Anaplastic thyroid carcinoma: changing trends of t...
- Efficacy of indoor air purification in the treatme...
- Electrode Afterload: A Valuable Technique in a Cas...
- Unusual Mechanism of Facial Nerve Palsy Caused by ...
- Hyaluronic acid, hyaluronic acid plus dexpanthenol...
- Efficacy of pillar suture for post-tonsillectomy m...
- The effect of lateral neck dissection on complicat...
- Risk factors and effects of Hypocalcemia prior to ...
- Eye movements and imaging in vestibular migraine
- Risk of Onset of Second Neoplasms and Successive N...
- Clinical assessment, diagnosis and management of p...
- Paediatric nasal dermoids: Our experience
- Postoperative Complications After Adenotonsillecto...
- Clinical Use of 4-aminopyridine in Patients With D...
- Early Diagnosis and Treatment of Unilateral or Asy...
- PLOD2 Is Essential to Functional Activation of Int...
- Volatile Organic Compounds in Head and Neck Squamo...
- Patient Derived Models to Study Head and Neck Canc...
- Emerging Roles of ALK in Immunity and Insights for...
-
▼
Φεβ 16
(109)
- ► Ιανουαρίου (894)
-
►
2019
(146)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου