TỔNG QUAN VỀ CÁC PHƯƠNG PHÁP ĐIỀU TRỊ BỆNH VIÊM TAI GIỮA MẠN CÓ CHOLESTEATOMA

Abstract

Background: Patients with chronic otitis media and cholesteatoma require surgical treatment. There are many surgical methods, but the common goals include disease eradication, preserving anatomical structure, restoring or improving hearing. Purposes: The aim of this study was to focus on the surgical approach and the outcomes obtained for surgical treatment of middle ear cholesteatoma. Subjects and method: A systematic review of the literature was performed. A total of 22 articles comprising 1624 ears were operated by different surgical methods, 6 articles performed endoscopic ear surgery. Results and Conclusions: The ICW improves hearing better, but the residual cholesteatoma and recurrence cholesteatoma rates are higher than open-cavity operation. Endoscopic ear surgery is a minimally invasive eradication that helps to disease eradication,  preservation of the mastoid cells and mucosa  and reconstruct the hearing mechanism, but also has many disadvantages. Different surgical methods give different results. The choice of technique depends on factors such as anatomical characteristics, hearing, eustachian tube function, surgeon's qualifications, patient's wishes, location and extent of cholesteatoma spread... The result of this study suggests a number of clinical and research. The evidence for efficacy between different surgeries on the same type of otitis media is also limited, requiring more comparative studies to find optimal methods in clinical practice.