Radical surgery on the middle ear in the treatment of cholesteatoma: history or reality? A review

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Abstract

Radical surgery on the middle ear is primarily associated with such pathology as cholesteatoma and ear neoplasms. And if in the case of tumors radicalism in ear surgery is justified, then in the surgery of the cholesteatomic process there is a need to discuss this issue. The existence of acquired cholesteatoma was recognized more than three centuries ago. Without timely detection and intervention, cholesteatomas can increase to gigantic sizes and lead to numerous intracranial and extracranial complications. Due to its aggressive growth, invasive nature and potentially fatal consequences of intracranial complications, acquired cholesteatoma remains the cause of morbidity and death in those who do not have access to advanced medical care. Currently, there are no effective non-surgical methods of treatment. The article provides a brief overview of the main issues related to acquired middle ear cholesteatoma, and discusses the practical

About the authors

Vadim S. Isachenko

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech

Author for correspondence.
Email: v.isachenko@niilor.ru
ORCID iD: 0000-0001-9090-0413

D. Sci. (Med.), Assoc. Prof., Saint Petersburg Research Institute of Ear, Throat, Nose and Speech

Russian Federation, Saint Petersburg

Vladimir V. Dvorianchikov

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech

Email: 3162256@mail.ru
ORCID iD: 0000-0002-0925-7596

D. Sci. (Med.), Prof., Saint Petersburg Research Institute of Ear, Throat, Nose and Speech

Russian Federation, Saint Petersburg

Sergey Y. Ognetov

Izhevsk State Medical Academy

Email: ognetovlor@rambler.ru
ORCID iD: 0000-0003-0289-3335

Cand. Sci. (Med.), Izhevsk State Medical Academy

Russian Federation, Izhevsk

Kseniya I. Sotnikova

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech

Email: sotnikovakseniya302@gmail.com
ORCID iD: 0000-0002-8659-0480

Resident, Saint Petersburg Research Institute of Ear, Throat, Nose and Speech

Russian Federation, Saint Petersburg

Dolgorma A. Tsydypova

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech

Email: dolgorma1995@gmail.com
ORCID iD: 0000-0002-7416-904X

Graduate Student, Saint Petersburg Research Institute of Ear, Throat, Nose and Speech

Russian Federation, Saint Petersburg

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2. Fig. 1. Section of a spiral computed tomogram of the temporal bone: in place of the attic and antrum there is a giant carious cavity. The arrow indicates a significant defect in the petrous temporal bone bordering the posterior cranial fossa.

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3. Fig. 2. Radical surgery (picture).

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4. Fig. 3. Radical surgery.

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5. Fig. 4. Transcanal endoscopic picture of the result of a radical operation with tympanoplasty. The neotympanic membrane is fused to the medial wall of the tympanic cavity.

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