Cholesteatoma surgery in children: 10-year retrospective review

Visvanathan, V; Kubba, Haytham; Morrissey, M. S. C.

doi:10.1017/s0022215111003483

Cited by 11 publications

(6 citation statements)

References 14 publications

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“…We found significant differences between childhood cholesteatoma and adult disease, the former of which was more extensive and destructive at the time of surgery. These results support the findings of other studies that have suggested cholesteatoma in children to be more aggressive 16 , 20 , 21 . Although many studies have reviewed children and adult populations with cholesteatoma, a limited number of studies have directly compared these two groups.…”

Section: Discussionsupporting

confidence: 89%

“…These results support the findings of other studies that have suggested cholesteatoma in children to be more aggressive. 16,20,21 Although many studies have reviewed children and adult populations with cholesteatoma, a limited number of studies have directly compared these two groups. An Egyptian study by Elrashidi 22 divided 81 patients with cholesteatoma into age-based groups: children, adolescents and adults.…”

Section: Discussionmentioning

confidence: 99%

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Cholesteatoma in children and adults: are there really any differences?

2018

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Cholesteatoma in children and adults: are there really any differences?

2018

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“…It is essential to clarify that the operation technique is not the only factor influencing the risk of cholesteatoma recidivism. In addition, this risk is affected by the extent of the disease (especially mastoid extension), ossicular chain disruption, cholesteatoma location and preoperative ear discharge . However, it should be emphasized that all studies investigating the aforementioned risk factors included only children or studied a population consisting of both children and adults .…”

Section: Discussionmentioning

confidence: 99%

The disease recurrence rate after the canal wall up or canal wall down technique in adults

et al. 2015

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The majority of included studies showed CWU to result in more disease recidivism compared to the CWD technique in adult patients with a primary acquired cholesteatoma. If recidivism risk is the most important factor to consider a certain surgical technique, we recommend application of the CWD procedure. However, many additional factors in patient care will define the best treatment decision, such as residual hearing and access to health care. Our recommendations are based on Level II evidence, which underlines the need for future high-level evidence studies.

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“…The absence of postoperative hearing improvement in adolescents, and particularly in children, contrary to obvious improvement in adults reflects the persistent adverse activity of upper respiratory tract infections. So, experience can not lead to retaining of audiological results of cholesteatoma surgery in children [10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

The Learning Curve of Cholesteatoma Surgery: Follow up of Audiological Results

Stanković¹

2013

Surgery Curr Res

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Objective:To review the effect of learning curve on the audiological results of patients surgically treated for cholesteatoma.Study design: Retrospective review of patients records in tertiary referral center. Patients:Retrospective study of 758 patients operated by one surgeon for acquired middle ear cholesteatoma divided into two periods. The patients were divided into three age groups: children, adolescents, and adults. The localization of cholesteatoma was classified as: attic, sinus, or tensa. Audiological results were followed during shortterm and long-term period. Interventions:Patients were treated with single canal wall up or wall down, according to the propagation of disease and condition of middle ear. Reoperations were performed when needed. Main outcome measures:Preoperative and postoperative air bone gap (ABG) was compared in different groups. Results:In short term follow up the surgical experience was found significant for: attic and sinus tympani site, adult patients, absent manubrium mallei, closed technique, unilateral cholesteatoma, and primary surgery. During long tem follow up experience resulted in better audiological results for: all sites of cholesteatoma, adolescents and adults, all types of ossicular damage, uni-and bilateral cholesteatoma, for closed technique, and both for primary and revision operations.Conclusion:Obtained experience during surgical treatment for cholesteatoma was significantly influential on the improvement of audiological results of different aspects of cholesteatoma elimination, particularly for difficult and advanced cases, such as attic cholesteatoma, bigger ossicular damage, and closed surgical technique.Citation: Stankovic M, Kosanovic R, Stankovic P (2013) The Learning Curve of Cholesteatoma Surgery: Follow up of Audiological Results. Surgery S12: 016.

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Cholesteatoma surgery in children: 10-year retrospective review

Abstract: Children tend to present with aggressive disease. Disease extent and ossicular chain involvement are associated with a higher risk of recurrent disease. Spontaneous improvement in hearing thresholds following cholesteatoma surgery should alert the clinician to recurrent disease.

Cited by 11 publications

References 14 publications

Cholesteatoma in children and adults: are there really any differences?

Cholesteatoma in children and adults: are there really any differences?

The disease recurrence rate after the canal wall up or canal wall down technique in adults

The Learning Curve of Cholesteatoma Surgery: Follow up of Audiological Results

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