The pros and cons of canal wall up versus canal wall down mastoidectomy for cholesteatoma

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There has been fierce debate regarding the optimal surgical technique for the management of cholesteatoma for over 50 years. Choice of technique depends on factors relating to the surgeon, the patient and the disease process. Much literature has been devoted to the benefits and pitfalls of canal wall up and canal wall down techniques and their respective effects on measures such as number of operations required for disease eradication, adequate surgical access, complications, residual/recurrent cholesteatoma, hearing outcomes and long-term follow up. This article aims to review the pros and cons of canal wall up versus canal wall down surgery for cholesteatoma.

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  • Authors: Rebecca L Heywood & Antony Narula
  • Keywords: Mastoidectomy, canal wall up, canal wall down, cholesteatoma, hearing.
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