A narrative review of the management of pars flaccida tympanic membrane retractions without cholesteatoma.
non-cholesteatomatous
pars flaccida
retractions
tympanic membrane
Journal
Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
ISSN: 1749-4486
Titre abrégé: Clin Otolaryngol
Pays: England
ID NLM: 101247023
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
revised:
06
06
2023
received:
16
06
2022
accepted:
02
07
2023
pubmed:
31
7
2023
medline:
31
7
2023
entrez:
30
7
2023
Statut:
ppublish
Résumé
Review the effectiveness of surgical and non-surgical management strategies for isolated pars flaccida and combined pars tensa and flaccida tympanic membrane retractions in preventing progression or recurrence, improving hearing and preventing development of cholesteatoma. Narrative review. ENT and otology services worldwide. Patients with non-cholesteatoma tympanic membrane retractions. Changes in retraction (progression or resolution, or development of a known sequela such as perforation). Eight full text papers are included: three randomised controlled trials and five case series or cohort studies of more than five patients (a total of 238 ears). Data exists for the use of conservative management, ventilation tubes, laser tympanoplasty, cartilage and fascia tympanoplasty, lateral attic reconstruction as well as mastoid procedures. Few high-quality studies on the management of isolated and combined pars flaccida retractions exist. For isolated pars flaccida retractions deemed to require surgical intervention, this review suggests that lateral attic reconstruction and cartilage tympanoplasty carries least risk of recurrence.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
799-808Informations de copyright
© 2023 John Wiley & Sons Ltd.
Références
Sade J. Retraction pockets and attic cholesteatomas. Acta Otorhinolaryngol Belg. 1980;34:62-84.
Luntz M, Fuchs C, Sade J. Correlation between retractions of the pars flaccida and the pars tensa. J Laryngol Otol. 1997;111:322-324.
Canali I, Rosito LPS, Longo VD, da Costa SS. Critical analysis of moderate and severe retractions in the pars tensa and pars flaccida of the tympanic membrane. Braz J Otorhinolaryngol. 2021;89:114-121. https://doi.org/10.1016/J.BJORL.2021.10.005
Wells MD, Michaels L. Role of retraction pockets in cholesteatoma formation. Clin Otolaryngol Allied Sci. 1983;8:39-45.
Stenfeldt K, Johansson C, Hellström S. The collagen structure of the tympanic membrane: collagen types I, II, and III in the healthy tympanic membrane, during healing of a perforation, and during infection. Arch Otolaryngol Head Neck Surg. 2006;132:293-298.
Alper CM, Olszewska E. Assessment and management of retraction pockets. Otolaryngol Pol. 2017;71:1-19.
Dispenza F, Mistretta A, Gullo F, Riggio F, Martines F. Surgical management of retraction pockets: does mastoidectomy have a role? Int Arch Otorhinolaryngol. 2021;25:12-17.
Ostrowski VB, Bojrab DI. Minimally invasive laser contraction myringoplasty for tympanic membrane atelectasis. Otolaryngol Head Neck Surg. 2003;128:711-718.
Marchioni D, Alicandri-Ciufelli M, Molteni G, Genovese E, Presutti L. Endoscopic tympanoplasty in patients with attic retraction pockets. Laryngoscope. 2010;120:1847-1855.
Jesic SD, Dimitrijevic MV, Nesic VS, Jotic AD, Slijepcevic NA. Temporalis fascia graft perforation and retraction after tympanoplasty for chronic tubotympanic otitis and attic retraction pockets: factors associated with recurrence. Arch Otolaryngol Head Neck Surg. 2011;137:139-143.
Barbara M. Lateral attic reconstruction technique: preventive surgery for epitympanic retraction pockets. Otol Neurotol. 2008;29:522-525.
Ottawa Hospital Research Institute. https://www.ohri.ca/programs/clinical_epidemiology/oxford.asp
Charachon R, Barthez M, Lejeune JM. Spontaneous retraction pockets in chronic otitis media medical and surgical therapy. Ear Nose Throat J. 1992;71:578-583.
Lou. Middle-ear or mastoid granulation pathology associated with retraction of the pars flaccida and low-pitched tinnitus. J Laryngol Otol. 2021;135:332-335.
Bayoumy AB, Veugen CCAFM, Rijssen LB, Yung M, Bok JWM. The natural course of tympanic membrane retractions in the posterosuperior quadrant of pars Tensa: a watchful waiting policy. Otol Neurotol. 2021;42:e50-e59.
Jesic SD, Rovcanin LH, Jovicevic OD, Jotic AD, Slijepcevic NA, Ljubic VR. Pars tensa retractions without cholesteatoma in children: predictors for ossicular chain destruction, air conduction thresholds, and postoperative retractions. Otol Neurotol. 2014;35:997-1002.