Cholesteatoma : surgical strategy · CHOLESTEATOMA AND SURGICAL STRATEGY Canal wall up technique...

5 VIDEOS

06201’49’’

06302’00’’

06402’05’’

06502’05’’

06602’08’’

CHOLESTEATOMA SURGERY VIDEO SESSION

B. FRAYSSE, J. FAYAD

DUBAIMarch 2019, 28-29-30

IFOS WORLD MASTER COURSE ON HEARING REHABILITATION

CHOLESTEATOMA AND SURGICAL STRATEGY

Canal wall up technique with anterior epitympanotomy

Anterior and posterior epitympanic cholesteatoma

● Removal of the incus, head of the malleus,attic bony plate, tensor fold

- To improve accessibility

- To create a new aeration pathway

from the supratubal recess to the antrum

064 – TF épitympanotomie antérieure - 2’05’’

CHOLESTEATOMA AND SURGICAL STRATEGY

Canal wall up technique with posterior tympanotomy

Mesotympanic cholesteatoma

● Identification of the vertical (mastoid) segment of the

facial nerve

● Opening of the facial recess and large posterior

tympanotomy (extended facial recess)

065 – TF tympanotomie postérieure - 2’05’’

CHOLESTEATOMA AND SURGICAL STRATEGY

Sclerotic mastoid

Holotympanic cholesteatoma

Large mastoid

Open technique

Combined approach

Anterior and posterior tympanotomy

● Lateral incision

● Cartilage removal

● Skin dissection

066 – Technique ouverte - 2’08’’

OBLITERATIVE TECHNIQUE

FELDMANN 1978

MERKE 1987

GANTZ 2005

VERCRUYSSE 2008

Muscle

Fascia

Bone chips

Cartilage

062 – Cholé oblitération technique - 1’49’’

Thank you for your attention

IFOS WORLD MASTER COURSE ON HEARING REHABILITATION