Effectiveness of Diffuse Laser Energy in the Treatment of Cholesteatoma Adherent to Dura: Laser for Dura-Adherent Cholesteatoma

Cholesteatoma that is firmly adherent to dura can be eliminated by slow heating of the cholesteatoma with diffuse laser energy without loss of dural integrity in 80% cases. Treatment involves more than laser treatment and 20% cases were associated with dural perforation during treatment. Older patients are at greater risk than younger patients for this complication of treatment. There were no cases of chronic CSF fistula and no cases of intracranial infection.