This study was carried on sixty eight patients (seventy eight ears), suffering
from tempanic membrane atelectasis (stage III & stage IV). They
subjected to surgical treatment either canalplasty with T-tube or cart&
age-tympanoplasty.
After 15 months follow-up we studied the effectiveness of each treatment
mortnlity regarding the two rationales of surgery for atelectatic ears
i.e. prevention of cholesteatoma transformation and closure of the air/
bone gap. Both types of surgical auxinlities had successful results. Canalplasty
is easier and less invasive whereas tympanoplasty needs experienced
hands in this difficult problem. For atelectatic ears, whether generalized
or locoli7ed type, we recommended canal plasty with T-tube for
stage III and cartilage- tyrnpcmoplasty for stage IV. |