Petrous temporal bone cholesteatoma: A new classification and long-term surgical outcomes

David Moffat, Stephen Jones, Wendy Smith

    Research output: Contribution to journalArticlepeer-review

    47 Citations (Scopus)

    Abstract

    The goals of this retrospective case review were to analyze the long-term results of surgery for petrous temporal bone cholesteatomas and to propose a new classification system for these lesions. Patients with a surgically confirmed petrous temporal bone cholesteatoma were treated at Addenbrooke's Hospital, a tertiary referral center. Postoperative facial function, hearing, residual/recurrent cholesteatoma, and other complications were assessed in relation to preoperative signs, intraoperative findings, and surgical approach. Between 1983 and 2004, 43 patients were treated. There were no perioperative deaths. There was no long-term recurrence in 95.4% of the patients, possibly because of meticulous surgical technique, bipolar diathermy, and use of the laser to denature the cholesteatoma matrix that was adherent to the dura. At presentation, 95% of the patients had no socially useful hearing in the affected ear. Facial nerve function, however, was usually preserved. Both direct anastomosis and nerve grafting can improve facial nerve function from House-Brackmann grade VI to grade III if the palsy is not longstanding. Four patients had cerebrospinal fluid leakage; other complications were rare. The proposed classification facilitates surgical planning and predicts the postoperative outcome with regards to hearing.

    Original languageEnglish
    Pages (from-to)107-115
    Number of pages9
    JournalSkull Base
    Volume18
    Issue number2
    DOIs
    Publication statusPublished - 2008

    Keywords

    • Hearing
    • Petrosal cholesteatoma classification

    Fingerprint

    Dive into the research topics of 'Petrous temporal bone cholesteatoma: A new classification and long-term surgical outcomes'. Together they form a unique fingerprint.

    Cite this