Pediatric Cholesteatoma Surgery Using a Single-Staged Canal Wall Down Approach

Trinidade, Aaron; Skingsley, Andrew; Yung, Matthew

doi:10.1097/mao.0000000000000598

Cited by 32 publications

(27 citation statements)

References 18 publications

(6 reference statements)

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“…We selected surgical techniques depending on the extension of the lesion. If it is necessary to eradicate the cholesteatoma, canal wall-down tympanoplasty and mastoid obliteration may be selected as described in previous reports [16,17]. Compared with previous reports [6,[16][17][18], our case management was relatively good in both the CC and AC groups.…”

Section: Discussionmentioning

confidence: 66%

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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Section: Discussionmentioning

confidence: 66%

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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“…Most authors have reported inferior outcomes in children compared with the adult cholesteatoma patient population regarding residual and recurrent disease (3)(4)(5)(6)(7)(8)(9). Various studies regarding CWU techniques in children without obliteration (3)(4)(5)(6)(7)(8)(9)(10) reported inferior results concerning residual and recurrent rate compared with the obliteration techniques (16)(17)(18)(19)(20). In our adult population, the single-stage CWU-BOT technique with TOA reconstruction also markedly improved the results concerning safety.…”

Section: Discussionmentioning

confidence: 83%

“…Arguments to use the CWU-BOT technique in extensive cholesteatoma in children are as follows: 1) the unsatisfactory residual and recurrent rates in our own pediatric population using the CWU technique without obliteration, as compared with the CWD technique (8); 2) the good hygienic and functional results in CWU populations (3)(4)(5)(6)(7)(8)(9), 3) the introduction of the non-EP DW MRI for follow-up of the obliterated mastoid and epitympanic space (15), 4) the rewarding results of the CWU-BOT in adults (12), and 5) convincing good results with obliteration reported by other authors (11,(16)(17)(18)(19).…”

mentioning

confidence: 99%

The Bony Obliteration Tympanoplasty in Pediatric Cholesteatoma

Dinther

Vercruysse

Camp

et al. 2015

Otology &Amp; Neurotology

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“…187 Mastoid obliteration with 1-stage eradication of the disease and a total reconstruction procedure provide long-term hearing improvement with a low incidence of persistent or recurrent disease in adults and children. [195][196][197][198][199][200][201][202][203] A quality-oflife study 204 conducted on patients with cholesteatoma who underwent mastoidectomy and mastoid obliteration with autologous cranial bone graft indicated a significant quality-oflife benefit from the procedure. Csakanyi et al 205 constructed a mathematical model that predicted that mastoid obliteration can improve ME gas pressure balance, resulting in better long-term outcome in MEs with poor mastoid pneumatization and ETD.…”

Section: Physiology and Pathophysiologymentioning

confidence: 99%

Panel 2: Anatomy (Eustachian Tube, Middle Ear, and Mastoid—Anatomy, Physiology, Pathophysiology, and Pathogenesis)

Alper

Luntz

Takahashi

et al. 2017

Otolaryngol.--head neck surg.

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Objective. In this report, we review the recent literature (ie, past 4 years) to identify advances in our understanding of the middle ear-mastoid-eustachian tube system. We use this review to determine whether the short-term goals elaborated in the last report were achieved, and we propose updated goals to guide future otitis media research.Data Sources. PubMed, Web of Science, Medline.Review Methods. The panel topic was subdivided, and each contributor performed a literature search within the given time frame. The keywords searched included middle ear, eustachian tube, and mastoid for their intersection with anatomy, physiology, pathophysiology, and pathology. Preliminary reports from each panel member were consolidated and discussed when the panel met on June 11, 2015. At that meeting, the progress was evaluated and new short-term goals proposed.Conclusions. Progress was made on 13 of the 20 short-term goals proposed in 2011. Significant advances were made in the characterization of middle ear gas exchange pathways, modeling eustachian tube function, and preliminary testing of treatments for eustachian tube dysfunction.Implications for Practice. In the future, imaging technologies should be developed to noninvasively assess middle ear/eustachian tube structure and physiology with respect to their role in otitis media pathogenesis. The new data derived from these structure/function experiments should be integrated into computational models that can then be used to develop specific hypotheses concerning otitis media pathogenesis and persistence. Finally, rigorous studies on medical or surgical treatments for eustachian tube dysfunction should be undertaken.

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Pediatric Cholesteatoma Surgery Using a Single-Staged Canal Wall Down Approach

Abstract: The use of a CWD approach with obliteration of the mastoid cavity to surgically treat extensive cholesteatoma in children results in a low recurrence rate and high rate of a trouble-free ear in the long term.

Cited by 32 publications

References 18 publications

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

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

The Bony Obliteration Tympanoplasty in Pediatric Cholesteatoma

Panel 2: Anatomy (Eustachian Tube, Middle Ear, and Mastoid—Anatomy, Physiology, Pathophysiology, and Pathogenesis)

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