Cirugía de extracción de colesteatoma. Revisión bibliográfica
Currently, cholesteatoma is a major morbidity problem. This entity carries with it the deterioration of the quality of life, given the consequences of the disease and the sequelae related to the surgi-cal intervention. Cholesteatoma is a benign tumor that affects the middle ear, with destruction of...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
2022
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| Subjects: | |
| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=8878572 |
| Source: | RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 6, Nº. 1, 2022 (Ejemplar dedicado a: Suplemento), pags. 4-12 |
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| Summary: |
Currently, cholesteatoma is a major morbidity problem. This entity carries with it the deterioration of the quality of life, given the consequences of the disease and the sequelae related to the surgi-cal intervention. Cholesteatoma is a benign tumor that affects the middle ear, with destruction of its innermost part. The fundamental purposes of otological surgical treatment are: to eliminate infection, resection of abnormal tissues, to obtain an aerated middle ear cavity (conchoplasty), a stable, mobile and well-positioned eardrum, reconstruct the tympanic membrane and the sound conduction (tympanoplasty), improve hearing or maintain it and avoid the possibility of relapses, sequelae or complications. Consequently, the general objective of this research is to review and summarize the fundamental aspects related to the main surgeries that allow the elimination of cholesteatoma. The research was carried out under a bibliographic documentary type methodolo-gy, under the review modality. The definitive resolution of cholesteatoma is basically surgical. There is a wide range of types of surgi-cal interventions, approach techniques and their combina-tion, which is why knowledge of both the anatomy and the entity is of vital importance for the surgeon and his team. An accurate diagnosis is essential for making surgical decisions and mini-mizing risks and postoperative complications. Intact canal wall mastoidectomy has generally been indicated for more limited cholesteatoma than for more aggressive ones. In the latter, open mas-toidectomy is indicated. In closed techniques, recurrent cholesteatomas are more frequent and very often require a second exploration to rule out this recurrence. A recur-rent cholesteatoma after a closed intervention may be a reason for a new intervention with an open technique. |
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