Management of Cholesteatoma: Surgical Options for Disease Limited to Middle Ear/Mastoid

Abstract

Surgery remains the mainstay of cholesteatoma management. Through advancement in technique and technology, the available surgical approaches have expanded to include not only the traditional procedures, but also endoscopic procedures, canal wall reconstruction procedures, mastoid obliteration, and retrograde mastoidotomy. Selection of management technique will depend on disease characteristics, patient factors, and surgeon preference.

Keywords: Canal wall down; Canal wall reconstruction; Canal wall up; Cholesteatoma; Endoscopic surgical approach.