Evidence map›Paper›PMID 31651106›Full record

ArticleTurkish journal of medical sciences2019

Canal wall down versus canal wall up surgeries in the treatment of middle ear cholesteatoma

Recep Karamert, Fakih Cihat Eravcı, Süleyman Cebeci, Mehmet Düzlü, Mehmet Ekrem Zorlu, Nagihan Gülhan, Hakan Tutar, Mehmet Birol Uğur, Ayşe İriz, Yıldırım Ahmet Bayazıt

Abstract readComparative Study
In one paragraph

Article in Turkish journal of medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Mastoid obliteration after cholesteatoma surgery with bone substitute mastoid obliteration: A 9-year retrospective experience of 81 cases.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  2. Article
  3. Article
  4. Total Transcanal Endoscopic Ear Surgery for Cholesteatoma.Turkish archives of otorhinolaryngology · 2023
    Article
  5. Ears with Cholesteatoma: Outcomes of Canal Wall Up and Down Tympano-Mastoidectomies-A Comparative Prospective Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Recep KaramertDepartment of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, TurkeyORCID 0000-0001-9112-3986
Fakih Cihat EravcıDepartment of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, TurkeyORCID 0000-0001-9092-7923
Süleyman CebeciDepartment of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, TurkeyORCID 0000-0003-2302-3371
Mehmet DüzlüDepartment of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, TurkeyORCID 0000-0002-5641-2915
Mehmet Ekrem ZorluDepartment of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, TurkeyORCID 0000-0003-0474-8094
Nagihan GülhanDepartment of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, TurkeyORCID 0000-0003-1207-3584
Hakan TutarDepartment of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, TurkeyORCID 0000-0001-5585-5282
Mehmet Birol UğurDepartment of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, TurkeyORCID 0000-0003-2784-015X
Ayşe İrizDepartment of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, TurkeyORCID 0000-0003-1495-0667
Yıldırım Ahmet BayazıtDepartment of Otolaryngology, Faculty of Medicine, Medipol University, İstanbul, TurkeyORCID 0000-0002-3887-4569

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: To compare outcomes of canal wall up (CWU) and canal wall down (CWD) techniques in the treatment of middle ear cholesteatoma. Materials and methods: Medical records of 76 patients who had a primary surgery due to middle ear cholesteatoma between July 2015 and November 2017 were reviewed retrospectively. Hearing thresholds, speech discrimination scores (SDS), recurrences, and revision surgeries of CWU and CWD surgeries were compared. Results: Of 76 cholesteatoma cases, 40 (52.6%) had a CWU and 36 (47.4%) had a CWD operation. Postoperatively, the mean air conduction thresholds were significantly better in CWU compared to CWD surgeries (P = 0.016). The presence of the stapes and the type of reconstruction material used did not have a significant effect on auditory success rates (P = 0.342 and P = 0.905, respectively). Auditory success was affected by the status of the middle ear mucosa as well. The recurrence and revision rates did not differ between the surgical techniques (P > 0.05). Conclusion: Status of the middle ear mucosa and external auditory canal are important factors affecting the outcomes in cholesteatoma. Instead of a CWD surgery, a CWU surgery seems applicable in cases of cholesteatoma when the bone in the external auditory canal is not eroded by the disease.

Indexed as

AdolescentAdultChildCholesteatoma, Middle EarFemaleHearing TestsHumansMaleMiddle AgedOtologic Surgical ProceduresRetrospective StudiesTreatment OutcomeYoung AdultCholesteatomamastoidectomyossicular replacementtympanoplasty

Identifiers

PMID31651106
PMCPMC7018256

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.