Congenital cholesteatoma of the middle ear - uncommon clinical presentation

Bukurov, Bojana; Babić, Borivoj; Dimitrijević, Mirjana; Folić, Miljan; Arsović, Nenad

doi:10.2298/vsp1405503b

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…The recurrence rate of CMEC in children is 10.5% to 45%. [12,13] Most studies on CMEC are small scale [8,12,[14][15][16][17] ; therefore, it remains unclear whether otoendoscopy can reduce the CMEC recurrence rate. Advances in otoendoscopy have yielded otoendoscopes with a diameter of 2.7 and 1.9 mm, which can pass through the narrow ear canal to increase the surgical field of vision, improve the surgical field clarity, and observe tissue from multiple angles at close range.…”

Section: Discussionmentioning

confidence: 99%

Transcanal endoscopic treatment for congenital middle ear cholesteatoma in children

Zeng¹,

Meng

Yan

et al. 2022

Medicine

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To investigate the feasibility and efficacy of transcanal endoscopic treatment for congenital middle ear cholesteatoma in children. Eleven children diagnosed with congenital middle ear cholesteatoma, who underwent total ear endoscopic surgery under general anesthesia, were included from the Huazhong University of Science and Technology Union Shenzhen Hospital between January 2016 and December 2020. We retrospectively analyzed their operation process and surgical complications through the surgical video; moreover, we compared the pre- and postoperative hearing outcomes. One child underwent a planned second operation to reconstruct the ossicular chain. At 6 postoperative months, all 11 children underwent reexamination. There was no significant change and a significant decrease in the mean bone and air conduction hearing thresholds, respectively (P > .05 and P < .05); moreover, there was a significant reduction in the air–bone conduction difference (P < .05). Further, the air–bone conduction difference was reduced to >20 dB and >10 dB in 11 and 7 children, respectively. Follow-up of the children did not reveal sensorineural deafness, facial paralysis, and other serious complications; further, there were no cases of recurrence. Transcanal endoscopic treatment for congenital middle ear cholesteatoma in children is feasible, minimally invasive, and functional.

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Section: Discussionmentioning

confidence: 99%

Transcanal endoscopic treatment for congenital middle ear cholesteatoma in children

Zeng¹,

Meng

Yan

et al. 2022

Medicine

View full text Add to dashboard Cite

show abstract

“…It is reported that the recurrence rate of CMEC in children is 10.5%-45% [11,12]. At present most reports on CMEC are small-sample reports [7,11,[13][14][15][16], so there is no data to prove that otoendoscope can reduce the recurrence rate of CMEC. With the development of ear endoscopy, ear endoscopy with a diameter of 2.7 mm and 1.9 mm can pass through the narrow ear canal, increase the surgical eld of vision, improve the clarity of the surgical eld and observe tissue from multiple angles at close range [17].…”

Section: Discussionmentioning

confidence: 99%

Transcanal endoscopic treatment for congenital middle ear cholesteatoma in children

Zeng¹,

Meng²,

Yan³

et al. 2021

Preprint

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Background To investigate the feasibility and efficacy of transcanal endoscopic treatment for congenital middle ear cholesteatoma in children. Methods Eleven children diagnosed with congenital middle ear cholesteatoma were collected at Huazhong University of Science and Technology Union Shenzhen Hospital from January 2016 to December 2020. The retrospective study of their operation process, comparison of pre- and post-operative hearing result, surgical complications through the surgical video. Results Eleven children received total ear endoscopic surgery under general anesthesia. One of them received planned second operation to reconstruct the ossicular chain. At six months after operation, 11 children underwent re-examination. The mean bone conduction hearing threshold had no significant change (P>0.05), the mean air conduction hearing threshold was significantly decreased (P<0.05), and the air-bone conduction difference was significantly reduced (P<0.05). In 11 children, the air-bone conduction difference were all reduced to less than 20 dB, and 7 cases were reduced to less than 10 dB. All the children were followed up so far without sensorineural deafness, facial paralysis and other serious complications, as well as no recurrence. Conclusion Otoendoscope can provide a wide-angle field of vision and advantages in small surgical trauma, quick healing, avoiding repeated dressing changes and high acceptance of secondary surgery. Intraoperative application of 30° and 45° otoendoscope can effectively reduce residuals. Otoendoscope is widely used as a surgical method in the treatment of congenital middle ear cholesteatoma in children.

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“…Cholesteatoma can be congenital or acquired ( Table 1 ), which may be distinguished based on the history, status of the TM and location of the lesion [ 8 – 10 ]. Congenital cholesteatoma (CC) develops from the embryonic epithelial rest which is most commonly located in the temporal bone but can be present elsewhere in the skull, including skin [ 8 , 11 ]. Unlike the acquired type, CC ( Figure 4 ) is not a sequelae of CSOM; nonetheless, it needs to be mentioned due to similar imaging findings [ 12 , 13 ].…”

Section: Imaging Modalities For the Evaluation Of Csom [ 5 mentioning

confidence: 99%

Chronically Discharging Ears: Evalution with High Resolution Computed Tomography

2018

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SummaryChronic suppurative otitis media (CSOM) refers to the middle ear inflammation which is clinically characterized by the discharging ear, hearing deficit, fever and otalgia. Although a clinical diagnosis, imaging is imperative to rule out associated complications which apart from causing hearing deficit, may prove fatal at times.Both high resolution computed tomography (HRCT) and MRI are helpful in evaluating middle ear pathologies, usage being indication specific. Due to its excellent spatial resolution, HRCT is invaluable in assessment of chronically discharging ears, especially to look for bone erosion and the integrity of the ossicles. Due to its better spatial resolution, HRCT is preferred in suspected intra temporal complications whereas MRI is more useful in evaluating intracranial extension.

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Congenital cholesteatoma of the middle ear - uncommon clinical presentation

Abstract: The diagnosis of congenital cholesteatoma in children should always be considered, even if the clinical symptoms imitate other ear disorders, in our case otosclerosis.

Cited by 4 publications

References 10 publications

Transcanal endoscopic treatment for congenital middle ear cholesteatoma in children

Transcanal endoscopic treatment for congenital middle ear cholesteatoma in children

Transcanal endoscopic treatment for congenital middle ear cholesteatoma in children

Chronically Discharging Ears: Evalution with High Resolution Computed Tomography

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