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Background and Objectives:The aim of our study is to analyze the characteristics and outcomes of revision surgery for chronic otitis media. Subjects and Method:December 31, 2004 (N= 208) were performed. The control group who underwent primary canal wal down mastoidectomy (CWDM, N= 51) was compared with the case group who underwent revision CWDM. Results:As a cause of revision ear sur-gery, recurent cholesteatoma comprised 38% of the cases, and granulation tisue in the unexenterated air cels were found to be 62%. Mastoid tip and perisinal air cels were most frequent sites of unexenterated air cells. CWDM was performed in 96.6% of a residual air-bone gap (ABG) of ≤30 dB. Complications after revision surgery were wound infection (3.8%) and temporary facial nerve palsy (1.9%). In the control group, disease control rate, postoperative ABG ≤30 dB, wound infection and facial nerve palsy were 90.2%, 90.5%, 5.9% and 0% of patients, respectively. Conclusion:Disease control rates and complications primary ones. Significance:This is a first report on revision ear surgery in Korean literature and a first report of revision surgery comparing with primary cases. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :584-9)

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