Objective: In order to improve operative effect to cholesteatoma otitis media.
Method: The clinical data of 860 cases of patients with cholesteatoma otitis media were treated by surgery through three approachs (through epitympanum, cribriform area or combined approach) were analyzed.
Result: The results showed that the recurrent rates of them were 10%, 11% and 6% respectively; The rates of improvement of hearing were 56%, 40% and 69% five years after operation respectively, and after 5 to 15 years were 45%, 35% and 62%; The rates of different abnormal shapes of tympanic membrane (including retraction, adherence and perforation) were 43%, 47% and 12%.
Conclusion: According to the location of foci, we regard that various and appropriate operative approach should be selected to treat the cases with cholesteatoma otitis media, and the combined approach tympanoplasty has advantage over the other two.