The status of the contralateral ear in children with acquired cholesteatoma

Abstract

At the time of surgery for MEC, 54.5% of CLEs presented with abnormalities. The most frequent findings were retraction of the tympanic membrane (30%) and SOM, 22.4%. Also, 7% of patients presented with bilateral MEC. Thirty-four percent (20 cases) of retraction pockets diagnosed at the beginning of the observation period required surgical intervention. During the intervention in 20% of cases (12/59 cases) diagnosis of cholesteatoma was confirmed. At the end of the observation period bilateral cholesteatoma was diagnosed in 12.9% of children.

Updates and Knowledge Gaps in Cholesteatoma Research

“…The mean age of children with acquired cholesteatoma has been estimated at 9.7 years (range: 6.4 to 13) [ 42 ]. It has also been estimated that 7–10% of affected children have simultaneous bilateral cholesteatomas or develop subsequent contralateral cholesteatomas during follow-up [ 53 , 54 ]; both of these conditions are more common in girls [ 55 ].…”

Clinical prognostic index for tympanoplasty (PRIT) in Pediatric patients

“…In contrast, other authors claim that age has nothing to do with tympanoplasty outcomes in children [32,33]. On the other hand, Hassman concluded that contralateral ear abnormal status must be taken into account, since it is an indicator of nasopharyngeal pathology that might affect ET correct functioning [34].…”

“…Assessment of the eustachian tube in a perforated ear can be diffi cult [6] and we can therefore resort to the contralateral ear function to assess both tubes function and their relationship with the nasopharynx [7,8].…”

A Clinical Study on Manifestations and Management of Cholesteatoma Ear

“…A similar incidence was demonstrated by Mohammed Yousuf et al(2011) (5) -poster superior marginal (69.23%) or in the attic region (30.77%).Bilateral ear disease found in 9 patients (11.25%) and in 7 cases (8.75%) it is of unsafe type. According to Hassman et al(2012) (13) , bilateral cholesteatoma was diagnosed in 12.9% of children.…”