Cholesteatoma in the Pediatric Age Group

Edelstein, David R.; Parisier, Simon C.; Chute, Patricia M.; Ahuja, Gurpreet S.; Wenig, Shula; Juarbe, C; Kaye, Steven M.

doi:10.1177/000348948809700105

Cited by 57 publications

(44 citation statements)

References 11 publications

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“…In a retrospective study done by Parisier et al, the most common presenting symptom were otorrhoea (73 %), hearing loss (85 %), otalgia (32 %), tinnitus (8 %) and vertigo (8 %). Only (0.8 %) presented with an intracranial complication [4].…”

Section: Discussionmentioning

confidence: 97%

Modified Radical Mastoidectomy with Type III Tympanoplasty: Revisited

Goyal¹,

Mourya²,

Qureshi³

et al. 2015

Indian J Otolaryngol Head Neck Surg

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Chronic suppurative otitis media with cholesteatoma is a fairly common condition presenting in any ENT clinic and its surgery remains one of the most challenging surgeries in otology. The primary goal of cholesteatoma surgery is to clear the disease and produce a safe and stable ear but there is still debate on whether these goals are best achieved by canal wall down or canal wall up procedures. A retrospective study was done to access benefits of modified radical mastoidectomy (MRM) with type III tympanoplasty in terms of eradication of disease and hearing improvement. It consisted of 140 patients of chronic otitis media (attico-antral) who underwent MRM with type III tympanoplasty in 156 ears in a tertiary care centre. Temporalis fascia graft was used for tympanoplasty. Results were analyzed in terms of condition of cavity, condition of graft and gain in hearing. The study showed significant improvement in gain in air conduction (21.24 dB) and closure of AB gap (15.62 dB). In the Indian population with low socio-economic status and poor follow up, single stage canal wall down procedure (MRM) provides maximum benefit to patients in terms of eradication of disease and hearing improvement.

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Section: Discussionmentioning

confidence: 97%

Modified Radical Mastoidectomy with Type III Tympanoplasty: Revisited

Goyal¹,

Mourya²,

Qureshi³

et al. 2015

Indian J Otolaryngol Head Neck Surg

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“…According to Sheehy 2 , Tos 3 and Edelstein 4 , pediatric cholesteatoma is less expansive, which leads to lower incidence of complications. Conversely, Galsscock 5 , Ruah 6 , Bujia 7 , Palva 8 and Sudhoff 9 report that acquired cholesteatoma in children should be presented in a more aggressive way and with more extensive growth.…”

Section: Introductionmentioning

confidence: 99%

Comparação da espessura da perimatriz, de colesteatomas adquiridos, entre pacientes pediátricos e adultos

Dornelles

Costa²,

Meurer³

et al. 2005

Rev. Bras. Otorrinolaringol.

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Chol esteatoma may occur either in children as in adults; in children, however, they have a more aggressive and extensive growth. Objective: To compare the thickness of the perimatrix, in µm, between adults (>18 years old) and children cholesteatomas. Study design: transversal cohort. Material and Method: 74 cholesteatomas (35 of children) obtained from othologic surgeries were included, fixed in formol 10%. It was made laminas with HE and Picrossisius, with were studied at the optic microscope. We obtained digital images of the laminas at the Image Pro-Plus and we used Spearman's coefficient for data analysis. Differences were considered statistically significant if P.

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“…Up to now, studies have shown inconsistent findings regarding pediatric and adult cholesteatoma. On one hand, some studies have revealed that pediatric cholesteatomas are less extensive, leading to a lower rate of complications [9][10][11].…”

Section: Discussionmentioning

confidence: 99%

Comparison of histopathological characteristics and clinical behavior of acquired cholesteatoma

Shishegar

Ashraf

2015

MMJ

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Objective: Acquired cholesteatoma is a severe middle-ear pathology affecting both adults and children. The clinical behavior of cholesteatoma depends on the histopathological characteristics of the disease. The present study aimed to compare the histophathological characteristics of acquired cholesteatoma in patients who had undergone tympanomastoidectomy. Patients and Methods:This retrospective chart analysis was conducted on 370 patients who had undergone tympanomastoidectomy presenting with the pathological indication of cholesteatoma. All cholesteatoma specimens were collected intraoperatively and were preserved for histopathological examination. The patients were divided into two groups according to the histopathological findings: 1-patients with pure cholesteatoma 2-patients with cholesteatoma plus other pathologies. Then, the two groups were compared regarding the clinical variables, including age, gender, duration of disease, occurrence of relapse, and complications.Results: No significant difference was found between the two groups regarding the clinical variables. Nevertheless, the incidence of pure cholesteatoma was higher among the patients who had experienced the recurrence of the disease and underwent tympanomastoidectomy one more time. Conclusion:In the present study, no significant difference was observed between the two histopathologically different groups regarding the clinical variables, except for recurrence rate.

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Cholesteatoma in the Pediatric Age Group

Cited by 57 publications

References 11 publications

Modified Radical Mastoidectomy with Type III Tympanoplasty: Revisited

Modified Radical Mastoidectomy with Type III Tympanoplasty: Revisited

Comparação da espessura da perimatriz, de colesteatomas adquiridos, entre pacientes pediátricos e adultos

Comparison of histopathological characteristics and clinical behavior of acquired cholesteatoma

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