Eustachian tube dysfunction in the pathogenesis of cholesteatoma: Clinical considerations

Wen Yuan Chao, Hwei Zen Tseng, Sue Joan Chang

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Objective: This study was conducted to gain insight into the surgical management of cholesteatomas to prevent postoperative retraction of the tympanic membrane. Design: A retrospective chart review of patients presenting between July 1988 and July 1992 was conducted. Method: Clinical observations were made on 85 ears from 81 patients who had tympanoplasty with mastoidectomy for middle ear cholesteatoma, with ossicular reconstruction if necessary, with a subsequent follow-up period of 36 to 84 months (mean, 60 ± 13 months). Results: The tympanic membrane in several cases became gradually retracted postoperatively; retraction generally commenced along the margin of the cartilage used for repairing the scutum defect, and was noted as early as 9 months, and after 5 years' follow-up, in as much as 66% in the 44 ears operated. Conclusions: Eustachian tube dysfunction was common postoperatively in cholesteatomatous ears; however, whether it was the etiology or the sequela of a cholesteatoma could not be deduced. Since a retraction pocket in the tympanic membrane can develop into a cholesteatoma, it may account for some cases with recurrence of cholesteatoma postoperatively. Therefore, the cartilage/perichondrium composite graft for repairing the bone defect should be as large as possible.

Original languageEnglish
Pages (from-to)334-338
Number of pages5
JournalJournal of Otolaryngology
Issue number5
Publication statusPublished - 1996 Nov 19

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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