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January 1, 2018BioMed Research InternationalOpen Access

The Role of Tympanic Membrane Retractions in Cholesteatoma Pathogenesis

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Authors

LRLetícia Petersen Schmidt RositoNSNeil M. SperlingATAdriane Ribeiro Teixeira

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Overview

Cross-sectional study finds high rates of matching tympanic membrane retractions in contralateral ears of cholesteatoma patients, indicating retractions drive early disease pathogenesis.

Key Points

  • To evaluate the contralateral ears of patients with cholesteatoma and assess whether contralateral tympanic membrane findings correlate with specific cholesteatoma growth patterns.
  • Analyzed videotoscopy findings in both ears of 432 patients with cholesteatoma categorized as posterior epitympanic, posterior mesotympanic, two routes, or undetermined.
  • Classified tympanic membrane (TM) retractions by location and severity, and evaluated TM perforations for signs of prior retraction.
  • TM retraction was the most common abnormality detected in the contralateral ear (42.6%), while contralateral cholesteatoma was present in 17.4% of patients.
  • In posterior epitympanic cases, contralateral retractions occurred more often in the pars flaccida (66.7%) than pars tensa (1.4%), whereas two-route cholesteatoma predominantly involved both sites (65.6%; p < 0.0001).

Cite This Study

Rosito et al. (2018) studied this question.

synapsesocial.com/papers/6a127111ea48cb855a34d7e6https://doi.org/10.1155/2018/9817123
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  4. 4ChOLE-Based Stratification of Cholesteatoma Surgery: Predictive Value for Recurrence and Hearing Recovery2025
  5. 5Cholesteatoma- an Immune disease2026