Page 59 - Revista Portuguesa - SPORL - Vol 63. Nº2
P. 59
a limited portion of the wall of the EAC Results
was resected by drilling the scutum to the We included 94 patients with a total of 97
limits of the cholesteatoma sac. Ossicular cases of surgery performed by nine different
reconstruction was made in most cases in specialists over a period of 10 years. 54 were
which there was loss of the ossicular chain males and 43 females. There was an equal
integrity due to erosion. The materials used distribution between sides of the affected ear
included tragus cartilage, autologous ear and three patients had bilateral disease.
ossicle grafts and alloplastic prothesis such The mean age at the time of surgery was 39.7
as partial ossicular replacement prosthesis years. Of note, 26.8 % of patients were in the
(PORPs) and total ossicular replacement age group 41-50 years with another peak seen
prosthesis (TORPs) which depended on in the group 11-20 years (19.6%) (chart 1).
the type of defect encountered and the On average, patients were followed in ENT
gap to restore. For the classification of consult due to otologic complaints for 21.5
tympanoplasties we used the one described months before surgery. Most cases were
by Portmann. Postoperative data was classified as primary acquired cholesteatomas
9
analyzed regarding hearing outcomes, and (94.8%, n=92) associated with tympanic
complications such as recidivism, intermittent retraction pockets or attic tunnels, however, in
otorrhea, extrusion of prothesis and other 5 distinctive cases (5.2%), a previous assertive
significant events during the follow-up period. history of chronic tympanic membrane
Statistical analyses were performed using the perforations (not associated with other
IBM SPSS Statistics v29 software. Chi-squared tympanic membrane alterations) were
test was performed for analysis of associations reported, causing them to be classified as
between two categorical variables and the secondary acquired cholesteatomas. There
independent sample t-tests to compare were no cases of congenital cholesteatomas.
means or proportions of two independent From analysis of preoperative exams, CT scans
groups. p < 0.05 was considered significant. revealed a majority of patients with a sclerotic
Chart 1
Age distribution of patients
Volume 63 . Nº2 . Junho 2025 163
