[Anatomical and functional evaluation 3 and 5 years later of 94 cases of chronic cholesteatomatous otitis media. Clinical and therapeutic implications]. / Bilan anatomique et fonctionnel à 3 et 5 ans de 94 cas d'otite moyenne chronique cholestéatomateuse. Implications cliniques et thérapeutiques.

Anatomical and functional results were evaluated at 3 and 5 years after surgery for chronic cholesteatomatous otitis media in 94 patients treated by the same surgeon between 1975 and 1983. Open techniques predominated and were justified by seven clinical or epidemiologic factors present alone or in association in 80% of cases. Many patients were non-attenders at follow up (40% at 3 years and 70% at 5 years), recovery from their cholesteatoma being noted in 84% and 78% of those attending at 3 and 5 years respectively. Useful audition was recovered in 52%, including 2 of 3 due to an open technique. Petro-mastoid hollow-out with arrangement of cavity and minimal ossicular reconstruction is considered the most effective treatment for this type of affection.

[Anatomical and functional evaluation, after 3 and 5 years, of 94 cases of chronic cholesteatomatous otitis media. Clinical and therapeutic implications]. / Bilan anatomique et fonctionnel à 3 et 5 ans de 94 cas d'otite moyenne chronique cholestéatomateuse. Implications cliniques et thérapeutiques.

Anatomic and functional results are reported after 3 and 5 year follow up of 94 cases of chronic cholesteatomatous otitis operated upon and kept under surveillance by the same surgeon between 1975 and 1983. Open technics dominated and were justified by seven clinical and epidemiologic factors found alone or in combination in 80% of patients. Results must allow for the high rate of non-attenders (40% at 3 years and 70% at 5 years). Recovery from their cholesteatoma was obtained in 84 and 78% of patients after 3 and 5 years respectively, 52% recovering useful hearing, 2 out of 3 of these due to an open technic. Modified radical mastoidectomy is considered to be undoubtedly the most effective treatment for this type of affection.