{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:42:22Z","timestamp":1792662142275,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,9,25]],"date-time":"2015-09-25T00:00:00Z","timestamp":1443139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives\/Hypothesis<\/jats:title>\n                    <jats:p>To review which type of cholesteatoma surgery, canal wall up (CWU) or canal wall down (CWD), provides the lowest risk for residual and\/or recurrent disease in adults with primary acquired cholesteatoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, Embase, CINAHL, the Cochrane Library, Scopus and Web of Science.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>We selected articles comparing CWU with CWD, reporting on disease recidivism (combined residual and recurrent disease) or independent residual or disease recurrence rates. We included studies with a moderate to high relevance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our search yielded 2,060 articles. We selected seven studies that carried a moderate risk of bias. Six studies described higher disease recidivism after the CWU procedure [16.7\u201361.0%] compared to the CWD technique [0\u201313.2%]. Four studies showed statistical significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). One study showed opposite results: recidivism was found in 7.8% CWU and in 22.1% CWD cases (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Studies showed CWU recidivism more likely to be residual disease, whereas CWD recidivism tended to be recurrent disease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The majority of included studies showed CWU to result in more disease recidivism compared to the CWD technique in adult patients with a primary acquired cholesteatoma. If recidivism risk is the most important factor to consider a certain surgical technique, we recommend application of the CWD procedure. However, many additional factors in patient care will define the best treatment decision, such as residual hearing and access to health care. Our recommendations are based on Level II evidence, which underlines the need for future high\u2010level evidence studies.\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 126:980\u2013987, 2016\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.25591","type":"journal-article","created":{"date-parts":[[2015,9,25]],"date-time":"2015-09-25T06:27:53Z","timestamp":1443162473000},"page":"980-987","source":"Crossref","is-referenced-by-count":130,"title":["The disease recurrence rate after the canal wall up or canal wall down technique in adults"],"prefix":"10.1002","volume":"126","author":[{"given":"Kelly G. P.","family":"Kerckhoffs","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten B. J.","family":"Kommer","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thom H. L.","family":"van Strien","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simeon J. A.","family":"Visscher","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanneke","family":"Bruijnzeel","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center Utrecht The Netherlands"},{"name":"Brain Center Rudolf Magnus Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana L.","family":"Smit","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilko","family":"Grolman","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center Utrecht The Netherlands"},{"name":"Brain Center Rudolf Magnus Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2006.08.003"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106003550"},{"key":"e_1_2_7_4_1","first-page":"61","volume-title":"Keel\u2010neus\u2010oorheelkunde en hoofd\u2010halschirurgie","author":"Heyning P","year":"2009"},{"key":"e_1_2_7_5_1","unstructured":"DeclerckT.Resultaten na cholesteatoomchirurgie: Een retrospectieve analyse.2010. 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Choice of technique and results in the adult and child","volume":"97","author":"Charachon R","year":"1980","journal-title":"Ann Otolaryngol Chir Cervicofac"},{"key":"e_1_2_7_19_1","first-page":"178","article-title":"Outcome of residual cholesteatoma and hearing in mastoid surgery","volume":"25","author":"Roden D","year":"1996","journal-title":"J Otolaryngol"},{"key":"e_1_2_7_20_1","first-page":"37","article-title":"Surgery in cholesteatoma: ten years follow\u2010up","volume":"31","author":"Ajalloueyan M","year":"2006","journal-title":"Iran J Med Sci"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016487909137178"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1963.00750020314012"},{"key":"e_1_2_7_23_1","first-page":"229","article-title":"Cholesteatoma surgery: Open vs closed tympanoplasty","volume":"9","author":"Quaranta A","year":"1988","journal-title":"Am J Otol"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1258\/00222150360600823"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1008577"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/597896"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414523562"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100130804"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-012-0548-z"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2011.1422"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215111003483"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2003.08.002"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/mlg.0b013e318030ac8c"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00136-6"},{"key":"e_1_2_7_35_1","first-page":"550","article-title":"Predictive risk factors of residual cholesteatoma in children: a study of 256 cases","volume":"18","author":"Roger G","year":"1997","journal-title":"Am J Otol"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(98)00126-8"},{"key":"e_1_2_7_37_1","article-title":"Canal wall reconstruction in cholesteatoma surgeries: rate of residual","author":"Roux A","year":"2014","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"e_1_2_7_38_1","volume-title":"Evidence\u2010Based Healthcare and Public Health: How to Make Decisions About Health Services and Public Health","author":"Muir Gray JA","year":"2009"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25591","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25591","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.25591","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T21:43:29Z","timestamp":1696542209000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.25591"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,25]]},"references-count":37,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1002\/lary.25591"],"URL":"https:\/\/doi.org\/10.1002\/lary.25591","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,25]]}}}