Abstract
My method of surgery for cholesteatoma has changed overtime and can be split into four terms inchronological order. Tympanoplasty was performed in all cases, but in each term the method and approachchanged as follows.
The first: 1955-1964 Canal wall down tympanoplasty
The second: 1965-1874 Canal wall up tympanoplasty
The third: 1975-1989 Canal wall down tympanoplasty with mastoid obliteration
The fourth: 1990-2002 Canal wall down tympanoplasty with mastoid obliteration and without atticobliteration
The reasons for these changes in surgical method and approach were influenced by the incidence of complicationssuch as mastoid cavity problems in the first term and recurrent cholesteatoma in the second term.In the change from the third term to the fourth term obliteration technique was no longer performed in theattic region to obtain a better surgical result. Then, a stable postoperative course is observed.
