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Surgical treatment of retraction pocket as a prevention of secondary cholesteatoma
 Jakubův, Martin ; Otruba, Lukáš (advisor)
The dissertation deals with acquired (secondary) cholesteatoma. It arises from a retraction pocket. The process is conditioned on tubal dysfunction that leads through secretory otitis media to the development of retraction pocket and then may result in chronic otitis media with cholesteatoma. Cholesteatoma is a pearl shaped formation located in the middle ear cavity with aggressive behavior to surrounding structures. It may lead to serious life-threatening complications. Therefore all measures preceding its formation are important. These measures concern: follow-up of risk patients, appropriate treatment preceding the development of acquired cholesteatoma or therapeutic operation of uncontrollable or problematic retraction pocket, performed as tympanotomy, atticotomy, or atticoantrotomy according to the size and localization of the pocket as a prevention of the formation of cholesteatoma. The dissertation is completed with a group of patients who underwent middle ear surgery at the ENT clinic of FNKV. This group of patients has a high proportion of patients with cleft (44%), often connected with tubal dysfunction and so they represent a risk group and preventive measures are justified.
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2 JAKUBŮV, Michala
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