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Conclusion References
Etiopathogenesis and surgical management 1. Olszewska E, Rutkowska J, Ozgirgin N. Consensus-based
of cholesteatoma are still highly debated recommendations on the definition and classification
of cholesteatoma. J Int Adv Otol. 2015 Apr;11(1):81-7. doi:
topics. Both canal wall up and down 10.5152/iao.2015.1206.
approaches have their own advantages and 2.Watkinson JC, Clarke R. Scott-Brown’s
risks. The decision-making process should Otorhinolaryngology and Head and Neck Surgery. 8th Ed.
be a highly individualized one, considering Vol 2. Boca Raton: CRC Press; 2018. p. 980-985
3. Pusalkar AG. Cholesteatoma and Its Management.
clinical, anatomic, and social factors as well Indian J Otolaryngol Head Neck Surg. 2015 Sep;67(3):201-
as the surgeon expertise. Although most 4. doi: 10.1007/s12070-015-0891-y.
cholesteatomas which are diagnosed in earlier 4. Alam M, Chandra K. Ears with cholesteatoma: outcomes
of canal wall up and down tympano-mastoidectomies—a
phases can be safely managed with CWU comparative prospective study. Indian J Otolaryngol Head
surgeries, in more advanced cases a CWD Neck Surg. 2022 Aug;74(Suppl 1):730-736. doi: 10.1007/
technique can be mandatory. This study shows s12070-021-02549-1.
no significant differences in hearing results for 5. Stankovic M. Follow-up of cholesteatoma surgery: open
versus closed tympanoplasty. ORL J Otorhinolaryngol
both techniques while it favors CWD surgeries Relat Spec. 2007;69(5):299-305. doi: 10.1159/000105482.
for a safer eradication of the disease. 6. Schraff SA, Strasnick B. Pediatric cholesteatoma: a
retrospective review. Int J Pediatr Otorhinolaryngol. 2006
Mar;70(3):385-93. doi: 10.1016/j.ijporl.2005.10.006.
Conflict of Interests 7. Brackmann D, Shelton C, Arriaga MA. Otologic Surgery.
The authors declare that they have no conflict 4th ed. Elsevier; 2016.
of interest regarding this article. 8. Yung M, Tono T, Olszewska E, Yamamoto Y, Sudhoff H,
Sakagami M. et al. EAONO/JOS joint consensus statements
on the definitions, classification and staging of middle
Data Confidentiality ear cholesteatoma. J Int Adv Otol. 2017 Apr;13(1):1-8. doi:
The authors declare that they followed the 10.5152/iao.2017.3363. 2017.
protocols of their work in publishing patient 9. Portmann Didier, Portmann Michel. Manuel Pratique
data. de Chirurgie Otologique. Bordeaux: Editions Masson; 1997.
10. Martins O, Victor J, Selesnick S. The relationship between
individual ossicular status and conductive hearing loss in
Human and animal protection cholesteatoma. Otol Neurotol. 2012 Apr;33(3):387-92. doi:
The authors declare that the procedures 10.1097/MAO.0b013e3182487fb0.
followed are in accordance with the regulations 11. Jeng FC, Tsai MH, Brown CJ. Relationship of preoperative
findings and ossicular discontinuity in chronic otitis media.
established by the directors of the Commission Otol Neurotol. 2003 Jan;24(1):29-32. doi: 10.1097/00129492-
for Clinical Research and Ethics and in 200301000-00007.
accordance with the Declaration of Helsinki of 12. Carrillo RJ, Yang NW, Abes GT. Probabilities of ossicular
discontinuity in chronic suppurative otitis media using
the World Medical Association. pure-tone audiometry. Otol Neurotol. 2007 Dec;28(8):1034-
7. doi: 10.1097/MAO.0b013e31815882a6.
Privacy policy, informed consent and Ethics 13. Bovi C, Luchena A, Bivona R, Borsetto D, Creber N,
committee authorization Danesi G. Recurrence in cholesteatoma surgery: what
have we learnt and where are we going? A narrative
The authors declare that they have obtained review. Acta Otorhinolaryngol Ital. 2023 Apr;43(Suppl
signed consent from the participants and that 1):S48-S55. doi: 10.14639/0392-100X-suppl.1-43-2023-06.
they have local ethical approval to carry out 14. Muzaffar J, Metcalfe C, Colley S, Coulson C. Diffusion-
this work. weighted magnetic resonance imaging for residual and
recurrent cholesteatoma: a systematic review and meta-
analysis. Clin Otolaryngol. 2017 Jun;42(3):536-543. doi:
Financial support 10.1111/coa.12762.
This work did not receive any grant contribution, 15.Murphy TP, Wallis DL. Hearing results in pediatric
patients after canal-wall-up and canal-wall-down mastoid
funding or scholarship. surgery. Otolaryngol Head Neck Surg. 1998 Nov;119(5):439-
43. doi: 10.1016/S0194-5998(98)70099-3.
Scientific data availability 16. Azevedo AF, Soares AB, Garchet HQ, Sousa NJ.
There are no publicly available datasets related Tympanomastoidectomy: comparison between canal
wall-down and canal wall-up techniques in surgery for
to this work. chronic otitis media. Int Arch Otorhinolaryngol. 2013
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