Aural acquired cholesteatoma in children: Surgical findings, recurrence and functional results

Corso, Eugenio De; Marchese, Maria Raffaella; Scarano, Emanuele; Paludetti, Gaetano

doi:10.1016/j.ijporl.2006.01.006

Cited by 43 publications

(25 citation statements)

References 13 publications

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“…The behavior of cholesteatoma in children seems more aggressive than in adults, with greater extension of the cholesteatoma, a worse state of the ossicular chain, and a higher incidence of recurrence (15). Hearing results of surgery for pediatric cholesteatoma are particularly controversial.…”

Section: Discussionmentioning

confidence: 99%

Audiologic Results of Surgery for Cholesteatoma

Stanković

2008

Otology &Amp; Neurotology

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The audiologic results of cholesteatoma surgery are preserved during long-term follow-up. We found that recurrent cholesteatoma was associated with diminished postoperative hearing. Poorer preoperative hearing level, CWD tympanoplasty, younger age, bilateral cholesteatoma, and ossicular damage, as well as revision surgery, were associated with reduced gains in hearing with surgical management. Surgical experience was important for ICW technique and for advanced damage of auditory ossicles. Recurrent cholesteatoma resulted in significantly worse hearing results for each analyzed parameter.

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Section: Discussionmentioning

confidence: 99%

Audiologic Results of Surgery for Cholesteatoma

Stanković

2008

Otology &Amp; Neurotology

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“…The recurrence rate is higher in children than in adult [1,2]. In adults, acquired cholesteatomas (AC) constitute the majority of cases; however, congenital cholesteatomas (CC) are not rare in children.…”

Section: Introductionmentioning

confidence: 99%

Pediatric middle ear cholesteatoma: the comparative study of congenital cholesteatoma and acquired cholesteatoma

Morita

Yamamoto

Oshima

et al. 2015

Eur Arch Otorhinolaryngol

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This study examined the differences between congenital cholesteatoma (CC) and acquired cholesteatomas (AC) in children by comparing clinical features and treatment courses. This was a retrospective study which retrospectively evaluated 127 children with middle ear cholesteatomas using medical records from January 1999 to December 2012 in the Department of Otolaryngology, Niigata University Hospital. The study comprised 69 and 58 cases of CC and AC, respectively. The main outcome measures include patient backgrounds, the opportunities for consultations, mastoid cell development, intraoperative finding of stapes, surgical procedure and number of surgeries. The average age at operation was 6.4 and 9.8 years in CC and AC, respectively. AC was more prevalent in boys. Mastoid development was better in CC than in AC. We adopted a two-stage operation in 17 cases (25 %) of CC and in 22 cases (38 %) of AC. The repeat surgery rate was 11.6 % in CC and 27.6 % in AC. Three times as many operations were required for three cases (4.3 %) of CC and 10 cases (17.2 %) of AC. The lesions in AC were more difficult to control. In the treatment of pediatric middle ear cholesteatoma, we had to keep the outcome in mind.

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“…The behavior of cholesteatoma in children was suggested to be more aggressive than in adults and was found with a higher recurrence or residual rate in the planned second operation [16,17]. Accordingly, the residual or recurrence rate was high (75%) for cholesteatoma in children with CIs based on our experience.…”

Section: Discussionmentioning

confidence: 59%

Management of otitis media-related diseases in children with a cochlear implant

Lin¹

2009

Acta Oto-Laryngologica

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In all, 19 of 186 children with a CI were identified as having otitis media, and 4 of them as having cholesteatoma. Among the others, 10 were identified as having acute otitis media, 4 as having middle ear effusion, and 1 as having mastoiditis in the implanted ear. Surgery was performed in children with cholesteatoma and mastoiditis. The CIs of three children were eventually explanted to eradicate cholesteatoma.

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Aural acquired cholesteatoma in children: Surgical findings, recurrence and functional results

Cited by 43 publications

References 13 publications

Audiologic Results of Surgery for Cholesteatoma

Audiologic Results of Surgery for Cholesteatoma

Pediatric middle ear cholesteatoma: the comparative study of congenital cholesteatoma and acquired cholesteatoma

Management of otitis media-related diseases in children with a cochlear implant

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