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