{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:40:01Z","timestamp":1787031601459,"version":"build-2736575974"},"reference-count":0,"publisher":"Caleo","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Int Adv Otol."],"abstract":"<jats:p>Background: This study aimed to compare total endoscopic ear surgery (TEES) and microscopic postauricular canal-wall-down tympanomastoidectomy (CWD) in cholesteatoma surgery in our clinic.\n\nMethods: This study included 59 patients, of whom 30 and 29 were operated on with CWD in 2016-2018 and TEES in 2019-2021, respectively and compared regarding intraoperative findings, hearing outcomes, long-term outcomes, and recidivism rates between groups. This study excluded patients in stage IV according to the European Academy of Otology and Neurotology\/Japan Otological Society Staging System on Middle Ear Cholesteatoma, aged &lt; 18, with congenital cholesteatoma, who underwent revision surgery.\n\nResults: Two patients in the TEES group had recidivism (6.9%), with recurrent disease observed in both patients and residual disease in none, whereas 3 patients in the CWD group had recidivism (10%), including recurrent disease in 2 and residual disease in 1 patient. Tympanic membrane perforation occurred in 2 (6.9%) and 1 (3.3%) patients in the TEES and CWD groups, respectively. The 2 groups revealed no significant difference in terms of recidivism and perforation rates (P=1.000, P = .612). The CWD group had a longer mean operation time (225.54 \u00b1 47.86 minutes) than the TEES group (160.55 \u00b1 24.98 minutes) (P &lt; .001). The 2 groups demonstrated no significant difference regarding pre- and postoperative air\u2013bone gap (ABG) and ABG gain (P = .105, P=.329, P=.82, respectively).\n\nConclusion: Total endoscopic ear surgery provides similar results in terms of hearing, recidivism, and long-term outcomes with the microscopic CWD approach. However, the CWD approach is still important, especially in patients in advanced stages.\n\nCite this article as: Ekrem Zorlu M, Yaramis B, Emrah Ceylan M, Dalgic A. Comparison of total endoscopic ear surgery and microscopic postauricular canal-wall-down approach on primary acquired cholesteatoma. J Int Adv Otol. 2024;20(4):325-330.<\/jats:p>","DOI":"10.5152\/iao.2024.231405","type":"journal-article","created":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T09:16:26Z","timestamp":1724663786000},"page":"325-330","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of Total Endoscopic Ear Surgery and Microscopic Postauricular Canal-Wall-Down Approach on Primary Acquired Cholesteatoma"],"prefix":"10.65717","volume":"20","author":[{"given":"Mehmet Ekrem","family":"Zorlu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berk","family":"Yaramis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Emrah","family":"Ceylan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Dalgic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"55248","published-online":{"date-parts":[[2024,7,29]]},"container-title":["The Journal of International Advanced Otology"],"original-title":[],"link":[{"URL":"https:\/\/www.advancedotology.org\/index.php\/pub\/article\/download\/1832\/1830","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.advancedotology.org\/index.php\/pub\/article\/download\/1814\/1811","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.advancedotology.org\/index.php\/pub\/article\/download\/1814\/1811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T09:42:45Z","timestamp":1769074965000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.advancedotology.org\/index.php\/pub\/article\/view\/1814"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,29]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,7,29]]}},"URL":"https:\/\/doi.org\/10.5152\/iao.2024.231405","relation":{},"ISSN":["2148-3817"],"issn-type":[{"value":"2148-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,29]]}}}