Current practices in cholesteatoma surgery.

Moderator, Bruce Proctor: Dr. Richard Bellucci has been charged with describing the methods he employs in the anterior tympanotomy technique for control of cholesteatoma. Dr. Claus Jansen will present the posterior tympanotomy concepts, Dr. Dietrich Plester will give his surgical approach, and then Dr. Lloyd Storrs his posterior tympanotomy technique. Professor Wullstein of Wurzburg will be our anchor man. Dr. Richard J. Bellucci: Aural cholesteatoma remains a challenge to the otologist. There are two points which are of particular concern to me. One, the cholesteatoma must be removed completely so we could do a radical mastoidectomy and clean out the disease. However, we have other thoughts these days. We should reconstruct. Therefore, we should have tissues that could be used in the reconstruction. Cholesteatoma cases are among the best cases for tympanoplasty. Therefore, we should conserve the tissue for the reconstruction. Here we have two opposing forces: (1) that you