Surgical treatment of paediatric cholesteatoma: Long-term follow up in comparison with adults

Edfeldt, Lennart; Kinnefors, Anders; Strömbäck, Karin; Köbler, Susanne; Rask‐Andersen, Helge

doi:10.1016/j.ijporl.2012.04.006

Cited by 30 publications

(28 citation statements)

References 26 publications

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“…Adult patients, previously defined as over 12 year of age [4], planned for annual clinical follow-up examination after one-stage surgery for middle ear cholesteatoma, were eligible for study inclusion. Patients were operated for cholesteatoma by five otosurgeons using an identical technique, previously described as total reconstruction procedure (TRP).…”

Section: Patientsmentioning

confidence: 99%

“…There is no general consensus as how to surgically treat patients with middle ear cholesteatoma and varying surgical techniques have been described [1][2][3][4]. Bony obliteration of the mastoid cavity may provide stable and non-infected ears [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Bony obliteration of the mastoid cavity may provide stable and non-infected ears [3,4]. As the technique poses a potential risk for remaining disease within the obliterated area [5], staging is often used [1,6].…”

Section: Introductionmentioning

confidence: 99%

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Non-echo planar diffusion-weighted MRI increases follow-up accuracy after one-step step canal wall-down obliteration surgery for cholesteatoma

Edfeldt

Strömbäck

Danckwardt-Lillieström

et al. 2013

Acta Oto-Laryngologica

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Seven of 41 cases were evaluated as positive for cholesteatoma on non-EPI DW-MRI. Since one patient refused surgery six of these seven cases underwent surgical revision and all were verified. There was agreement between clinical and non-EPI findings in five of eight cases. EPI findings correlated poorly with non-EPI and clinical findings. Inter-rater agreement (Cohen's kappa) was 0.91 for non-EPI DW-MRI (p < 0.001) and -0.062 for EPI DW-MRI (p = 0.43).

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Section: Patientsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Non-echo planar diffusion-weighted MRI increases follow-up accuracy after one-step step canal wall-down obliteration surgery for cholesteatoma

Edfeldt

Strömbäck

Danckwardt-Lillieström

et al. 2013

Acta Oto-Laryngologica

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“…Total reconstruction procedure without staging A total reconstruction procedure (TRP) was defined as a one-stage canal-wall down (CWD) procedure using a retro-auricular approach including wide meatoplasty, radical mastoidectomy, total or partial removal of the bony canal wall followed by reconstruction [7]. Wide exposure was carried out for adequate overview of the middle ear spaces including the tympanic sinus and facial recesses.…”

Section: Previous Surgerymentioning

confidence: 99%

Surgical treatment of adult cholesteatoma: long-term follow-up using total reconstruction procedure without staging

Edfeldt

Strömbäck

Kinnefors

et al. 2012

Acta Oto-Laryngologica

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Recurrence of AC occurred in 10%, residual disease in 3%. Six years after surgery all patients except one had a dry ear and over 92% of all cases were water resistant. Three patients developed complete deafness. Long-lasting improvement and/or preservation of hearing, with maintenance of PTA-ABG closure in 68% of all cases within 20 dB, were obtained. Sixty-four (19%) ossicular revisions were performed.

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“…187 Mastoid obliteration with 1-stage eradication of the disease and a total reconstruction procedure provide long-term hearing improvement with a low incidence of persistent or recurrent disease in adults and children. [195][196][197][198][199][200][201][202][203] A quality-oflife study 204 conducted on patients with cholesteatoma who underwent mastoidectomy and mastoid obliteration with autologous cranial bone graft indicated a significant quality-oflife benefit from the procedure. Csakanyi et al 205 constructed a mathematical model that predicted that mastoid obliteration can improve ME gas pressure balance, resulting in better long-term outcome in MEs with poor mastoid pneumatization and ETD.…”

Section: Physiology and Pathophysiologymentioning

confidence: 99%

Panel 2: Anatomy (Eustachian Tube, Middle Ear, and Mastoid—Anatomy, Physiology, Pathophysiology, and Pathogenesis)

Alper

Luntz

Takahashi

et al. 2017

Otolaryngol.--head neck surg.

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Objective. In this report, we review the recent literature (ie, past 4 years) to identify advances in our understanding of the middle ear-mastoid-eustachian tube system. We use this review to determine whether the short-term goals elaborated in the last report were achieved, and we propose updated goals to guide future otitis media research.Data Sources. PubMed, Web of Science, Medline.Review Methods. The panel topic was subdivided, and each contributor performed a literature search within the given time frame. The keywords searched included middle ear, eustachian tube, and mastoid for their intersection with anatomy, physiology, pathophysiology, and pathology. Preliminary reports from each panel member were consolidated and discussed when the panel met on June 11, 2015. At that meeting, the progress was evaluated and new short-term goals proposed.Conclusions. Progress was made on 13 of the 20 short-term goals proposed in 2011. Significant advances were made in the characterization of middle ear gas exchange pathways, modeling eustachian tube function, and preliminary testing of treatments for eustachian tube dysfunction.Implications for Practice. In the future, imaging technologies should be developed to noninvasively assess middle ear/eustachian tube structure and physiology with respect to their role in otitis media pathogenesis. The new data derived from these structure/function experiments should be integrated into computational models that can then be used to develop specific hypotheses concerning otitis media pathogenesis and persistence. Finally, rigorous studies on medical or surgical treatments for eustachian tube dysfunction should be undertaken.

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Surgical treatment of paediatric cholesteatoma: Long-term follow up in comparison with adults

Cited by 30 publications

References 26 publications

Non-echo planar diffusion-weighted MRI increases follow-up accuracy after one-step step canal wall-down obliteration surgery for cholesteatoma

Non-echo planar diffusion-weighted MRI increases follow-up accuracy after one-step step canal wall-down obliteration surgery for cholesteatoma

Surgical treatment of adult cholesteatoma: long-term follow-up using total reconstruction procedure without staging

Panel 2: Anatomy (Eustachian Tube, Middle Ear, and Mastoid—Anatomy, Physiology, Pathophysiology, and Pathogenesis)

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