The Two Cases of the Canal Wall Down Mastoidectomy &amp; Mastoid Obliteration Using Tachosil® in Recurrent Huge Cholesteatoma of Middle Ear

Yoon, Si-Won; Hong, Jong Chul; Jeong, Sung-Wook; Kang, Myung-Koo

doi:10.35420/jcohns.2016.27.2.322

J Clin Otolaryngol Head Neck Surg 2016; 27(2):322-326

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2016.27.2.322

증례

재발성 거대 진주종을 가진 환자에서 타코실을 이용한 개방동 유양동절제술 및 유양동폐쇄술 2예

윤시원¹, 홍종철¹, 정성욱¹, 강명구¹^,^*

The Two Cases of the Canal Wall Down Mastoidectomy & Mastoid Obliteration Using Tachosil^® in Recurrent Huge Cholesteatoma of Middle Ear

Si-Won Yoon¹, Jong Chul Hong¹, Sung-Wook Jeong¹, Myung-Koo Kang¹^,^*

Author Information & Copyright ▼

¹동아대학교 의과대학 이비인후-두경부외과학교실

¹Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University, Busan, Korea

^*교신저자: 강명구, 49201 부산광역시 서구 대신공원로 26 동아대학교 의과대학 이비인후-두경부외과학교실 전화: (051) 240-5428·전송:(051) 253-0712 E-mail:mgkang@dau.ac.kr

© Copyright 2016 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 19, 2016; Revised: Sep 21, 2016; Accepted: Nov 08, 2016

Published Online: May 31, 2020

ABSTRACT

The canal wall down mastoidectomy can secure a good operation field and remove the pathology easily, but it accompanies a cavity problem. To reduce the cavity problem, mastoid obliteration is conducted using multiple materials. And proper hemostasis is an important prerequisite for a successful outcome in all operative fields. TachoSil^® is used in many surgical specialties, especially for diffuse bleeding. TachoSil^® is not only used for hemostasis but also for closure of other anatomical structures. Recently, we experienced two patients with recurred huge cholesteatoma of middle ear. They underwent canal wall down tympanomastoidectomy with mastoid obliteration using the TachoSil^® due to the exposure of dura was observed removing the huge cholesteatoma completely. These two cases report show the successful treatment of recurred huge cholesteatoma, for which no recurrence is shown. (J Clinical Otolaryngol 2016;27:322-326)

Keywords: 재발; 진주종; 타코실; 유양동 폐쇄

Keywords: Recurrent; Cholesteatoma; TachoSil^®; Mastoid; Obliteration