Risk Factors of Post-Operative Recidivism in Congenital Cholesteatoma of the Middle Ear

Yoo, Seung Woo; Kwon, Sae Young; Kim, Hyung-Jong

doi:10.3342/kjorl-hns.2014.57.10.664

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…Therefore, surgery for CC should preserve function as much as possible by avoiding damage to the normal structures. We previously reported surgical outcomes in patients with early CC removed via transcanal myringotomy [3], and several other groups have published reports on CC, but large-scale studies are rare [45]. …”

Section: Introductionmentioning

confidence: 99%

Clinical Aspects and Surgical Outcomes of Congenital Cholesteatoma in 93 Children: Increasing Trends of Congenital Cholesteatoma from 1997 through 2012

et al. 2016

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Background and ObjectivesThe recent increase in the reported incidence of congenital cholesteatoma (CC) may be secondary to the widespread use of otoendoscopy as well as an increased awareness of these lesions among primary care physicians. However, little research about CC has been conducted in a large group of patients. This study aimed to analyze the clinical characteristics of CC including the annual number of patients, symptoms, age at diagnosis, stage and type of disease, surgical techniques, recurrence, and postoperative complications.Subjects and MethodsRetrospective chart review was performed for patients who met the inclusion criteria between January 1997 and June 2012.ResultsNinety-three patients underwent surgery for CC. The age at operation ranged from 12 months to 17 years (mean age, 6.1 years). The number of patients was less than 4 per year until 2005, but increased to more than 10 per year since 2008. CC was most commonly reported as an incidental finding (58.1%). The operative procedures included the transcanal myringotomy approach (46.2%), canal wall up mastoidectomy (37.6%), tympanoplasty (8.6%), and canal wall down mastoidectomy (7.5%). The recurrence rate was 20.4% and the complication rate was 12.9%. No patients with stage I CC had complications.ConclusionsThis study showed that the incidence of CC has recently increased notably. Most patients with stage I and II CC were completely cured by transtympanic surgery, and complication and recurrence rates increased according to the extent of disease. Early detection of CC is important to facilitate minimally invasive surgery and to reduce complication and recurrence rates.

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Section: Introductionmentioning

confidence: 99%

Clinical Aspects and Surgical Outcomes of Congenital Cholesteatoma in 93 Children: Increasing Trends of Congenital Cholesteatoma from 1997 through 2012

et al. 2016

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Usefulness of a Novel Staging System for Congenital Cholesteatoma of the Middle Ear

Kim¹,

Han²,

Yang³

et al. 2019

Korean J Otorhinolaryngol-Head Neck Surg

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Background and Objectives Although there are number of studies on the risk factors of recidivism in the congenital middle ear cholesteatoma, few have focused on the staging system. In this study, we aimed to investigate the postoperative recurrence rate in surgical cases of congenital middle ear cholesteatoma, and compare the results of using the Potsic staging system with those of a novel Kim staging system. Additionally, we also studied to see if the Kim staging system could suggest an appropriate surgical approach for each stage. Subjects and Method Surgical cases of the disease from January, 1989 to August, 2017 performed at Kangdong Sacred Heart or Hallym University Sacred Heart Hospital were included and those data were retrospectively reviewed. All the cases were pre-operatively assigned to the stages using both Potsic and Kim staging system, retrospectively. The post-operative recurrence rate was analyzed for each subject according to the findings of one year after surgery using both staging systems. Additionally, surgical approach performed in these cases, such as mastoidectomy and/or ossiculoplasty were analyzed and compared among the stage groups of Kim staging system. Results The Potsic staging system showed that recurrence was significantly lower in the stage I than in the other stages, and the Kim staging system showed that recurrence was significantly higher in the revision R stage than in the primary A, P, and M stages. The Kim staging system showed that mastoidectomy was performed more frequently in the M stage, and ossiculoplasty was performed less frequently in the A stage than in the other stages. Conclusion Although Potsic and Kim staging systems were both useful for predicting prognosis, the Kim staging system can additionally provide a clue for an appropriate surgical approach for each stage.

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A Case of Huge Congenital Cholesteatoma of Petrous Apex Treated With Translabyrinthine Marsupialization

Park,

et al. 2023

Korean J Otorhinolaryngol-Head Neck Surg

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Congenital cholesteatoma is rare, and especially so for a benign mass to grow from the squamous epithelium and the petrous apex as a location for this cancer. Surgery of the petrous apex cholesteatoma is challenging due to the location of the lesion and the need to preserve adjacent structures such as the dura mater, internal carotid artery, and internal auditory canal. Imaging studies, including CT and MRI, were crucial in guiding the surgical approach. This report describes a 40-year-old male patient with a large congenital cholesteatoma involving the petrous apex and temporal bone. The patient presented with a headache, hearing loss that persisted despite prior medical treatment. The cholesteatoma was surgically marsupialized through translabyrinthine approach, and the patient has remained stable for over 20 years. This report underscores the importance of considering the anatomical location and relationships of the lesion and adjacent structures when determining the surgical approach for congenital cholesteatoma involving the petrous apex and temporal bone.

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Risk Factors of Post-Operative Recidivism in Congenital Cholesteatoma of the Middle Ear

Cited by 3 publications

References 11 publications

Clinical Aspects and Surgical Outcomes of Congenital Cholesteatoma in 93 Children: Increasing Trends of Congenital Cholesteatoma from 1997 through 2012

Clinical Aspects and Surgical Outcomes of Congenital Cholesteatoma in 93 Children: Increasing Trends of Congenital Cholesteatoma from 1997 through 2012

Usefulness of a Novel Staging System for Congenital Cholesteatoma of the Middle Ear

A Case of Huge Congenital Cholesteatoma of Petrous Apex Treated With Translabyrinthine Marsupialization

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