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ArticleEuropean 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 Surgery2025

Evaluation of the effectiveness of bone obliteration in cholesteatoma surgery.

J Chomarat, C Fabre, S Schmerber, Raphaële Quatre

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Article in 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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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

1 citing paper in PubMed.

  1. Review
4 · The record

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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

4 authors.

J ChomaratDepartment of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital Grenoble-Alpes, Grenoble Cedex 09, BP 217 38043, France.
C FabreDepartment of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital Grenoble-Alpes, Grenoble Cedex 09, BP 217 38043, France.
S SchmerberDepartment of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital Grenoble-Alpes, Grenoble Cedex 09, BP 217 38043, France.
Raphaële QuatreDepartment of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital Grenoble-Alpes, Grenoble Cedex 09, BP 217 38043, France. rquatre@chu-grenoble.fr.ORCID http://orcid.org/0000-0002-3877-121X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe main objective of this study was to compare the residual and recurrence rates in canal wall up, canal wall down, and canal wall down with reconstruction tympanoplasty for the treatment of cholesteatoma, considering the different filling materials used: no mastoid obliteration versus obliteration using Bone Pate versus obliteration using G45S5 (Glassbone

methodsThis was a retrospective cohort study conducted at a single tertiary medical center. Patient who underwent canal wall up, canal wall down or canal wall down with reconstruction tympanoplasty for a cholesteatoma (primary, secondary, recurrent or residual), with or without mastoid obliteration, with Bone Pate or G45S5 between January 2007 and March 2023 were included. Patients with congenital cholesteatoma and with a follow-up less than 6 months or with any other type of surgery techniques were excluded.

resultsA hundred and eight (46%) surgeries were performed without any mastoid obliteration, 66 (28%) with Bone Pate obliteration and 62 (26%) with G45S5 obliteration with a total of 236 surgeries. Survival analysis revealed significantly better outcomes for the Bone Pate cohort compared to without obliteration cohort on the recurrence and recidivism rate (HR 0.26; p = 0.03 and HR 0.39; p = 0.01 respectively). However, none of the statistical analyses showed significant differences between the non-obliteration cohort and the G45S5 cohort.

conclusionOur study highlights the benefits of Bone Pate obliteration in cholesteatoma surgery. However, it does not provide conclusive evidence on the effectiveness of G45S5 obliteration in preventing residual and recurrent cholesteatoma.

Indexed as

Bone SubstitutesCholesteatoma, Middle EarMastoidTympanoplastyAdolescentAdultAgedChildFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesTreatment OutcomeYoung AdultBone SubstitutesBone obliterationCanal wall down tympanoplastyCanal wall up tympanoplastyCholesteatoma

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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.