Selection of Closed vs Open Technique for Cholesteatomas

Eugene L. Derlacki, MD, Chicago, Moderator: By the time we reached this closed vs open technique for cholesteatoma panel, a good bit of what I had hoped to cover was presented by the first three essayists, and a little bit was brought out in the panel on the atelectatic ear. We are not going to answer every question that every individual in the audience would like to have answered about this, nor am I going to be able to touch on every question that the panelists would like to have me ask them. When the organizing committee posed the question concerning the selection of closed vs open technique for cholesteatomas, they were, obviously concerned with any cholesteatoma whose extension into the attic space and beyond was such that it could not be exposed for complete removal through a transmeatal approach. This should immediately take out one group which Dr. Guilford