The management of pediatric cholesteatoma

An Incidental Case of Auto-atticotomy

“…Congenital cholesteatomata are generally asymptomatic, behind an intact tympanic membrane [18] and are usually an incidental finding. As for primary acquired cholesteatomata, they also usually have an intact tympanic membrane, and are localised to the pars flaccida, and present with recurrent ear symptoms, such as conductive hearing loss, discharge and vertigo [19].…”

Two cases of spontaneous regression of congenital cholesteatomas

“…Middle ear surgery is technically difficult in children with chronically and severely inflamed mucosa and granulation formation; it can lead to incomplete resection and residual disease. A high incidence of persistent eustachian tube dysfunction in the pediatric age group can also lead to reconstructive failure, residual conductive hearing loss from middle ear effusion, and recurrence of cholesteatoma after otherwise adequate surgery [2,3], not only in cases of acquired cholesteatoma but also in those of congenital cholesteatoma. Furthermore, it is generally accepted that cholesteatoma in children has greater aggressive growth activity than that in adults.…”

Staged tympanostomy tube placement facilitates pediatric cholesteatoma management

“…# 2007 Elsevier Ireland Ltd. All rights reserved. that cholesteatomas in children are innately more aggressive than those in adults [1,2]. It is likely that the high incidence of persistent eustachian tube dysfunction in the pediatric age group can lead to reconstructive failure, residual conductive hearing loss from middle ear effusion, and recurrence of cholesteatoma after otherwise adequate surgery [3].…”