Revision Cholesteatoma Surgery: Learning From Clinical Cases (2023 AMW) Session
2023 AAO-HNSF Annual Meeting & OTO Experience
PROGRAM DESCRIPTION: Revision cholesteatoma surgery is very challenging: it demands an in-depth knowledge of the pathology and surgical competence. This instruction course analyzes anatomical factors and surgeon's technical errors that may lead to residual or recurrent disease following primary cholesteatoma surgery. We will present clinical cases requiring revision surgery and discuss them in an interactive manner showing radiologic images, pre-operative photographs , and surgical video clips. We'll discuss management of recidivistic cholesteatoma in canal wall down mastoid cavities, in canal up mastoidectomy and in cases previously managed with an exclusive endoscopic approach. We'll discuss indications for endoscopy as a primary or as an adjunct tool in revision surgery and operative techniques to avoid complications and improve surgical outcomes.OUTCOME OBJECTIVE 1: Interpret radiologic and clinical images of recidivistic cholesteatoma in Canal Wall Up mastoidectomy, Canal Wall Down mastoidectomy and cases approached entirely through a transcanal endoscopic approach.OUTCOME OBJECTIVE 2: Analyze technical errors and anatomical factors leading to recidivistic cholesteatoma.OUTCOME OBJECTIVE 3: Discuss safe operative technique for revision surgery, indications to convert to canal wall down, revision of pre-existent Canal Wall Down Cavities and management of cholesteatoma in critical areas.BACKGROUND STATEMENT: The audience is requesting more advanced level courses, more clinical scenarios, less lectures, and not the same slides in recurrent courses. There is a need for more advanced courses on cholesteatoma and on prevention of complications. These are new clinical cases and not a repeat of last year.