Section: 
Rewiews
RewiewsModern view of canal wall-down and canal wall-up mastoidectomy
Kh. M. Diab (1), A. S. Yunusov (2), A. I. Buraev (3), O. A. Pashchinina (4), V. A. Saidulaev (5), I. D. Mukhmadov (6), S. V. Kokhanyuk (7)
(1), National Medical Research Center for Otorhinolaryngology, FMBA of Russia, Moscow, 123182, Russian Federation, (2) National Medical Research Center for Otorhinolaryngology of the FMBA of Russia, Astrakhan branch, Astrakhan, 414056, Russian Federation
UDK: УДК 616.284-002.3-089-072.1
DOI: https://doi.org/10.18692/1810-4800-2026-1-110-117
ABSTRACT
Abstract. Introduction. Currently, otolaryngologists use canal wall-down and canal wall-up techniques in the surgical treatment of the epitympanoantral form of chronic suppurative otitis media. The advantages and disadvantages of each method remain debatable. In the domestic medical literature, there is relatively little information on the use of otoendoscopy in canal wall-up mastoidectomy. Methods. A search and analysis of modern scientific publications from publicly available information resources was conducted, including original studies, monographs, review articles, clinical case reports, and textbooks by domestic and foreign authors. Results. A correlation between the method of mastoidectomy and disease recurrence is reported. The use of otoendoscopy in canal wall-up technique allows for visualization of hard-to-reach areas of the middle ear, reducing the risk of residual pathology, including cholesteatoma, and preserving the anatomy of the middle ear. Discussion. Using otoendoscopy in canal wall-up technique is more effective, less traumatic, and more cost-effective than the canal wall-down technique. Widespread use of otoendoscopy will optimize middle ear surgery, achieve better anatomical and functional results, and improve patients’ quality of life.
Publication date:
24.02.2026
Keywords:
surgeries for middle ear infection, otosurgery, cholesteatoma, endoscopic technique For citation:
Diab Kh. M., Yunusov A. S., Buraev A. I., Pashchinina O. A., Saidulaev V. A., Mukhmadov I. D., Kokhanyuk S. V. Modern view of canal wall-down and canal wall-up mastoidectomy. Russian Otorhinolaryngology. 2026;25(1):110-117. (In Russ.) https://doi.org/10.18692/1810-4800-2026-1-110-117