Cholesteatoma in children.
The 65 cholesteatomas operated on in children showed a more expansive and rapid growth than those in adults. In one fifth of the cases cholesteatoma filled the whole air-cell area, which was wide in half of the children. Fifty-two ears of these children had an attic or a posterosuperior perforation. One case was complicated by a fistula in the horizontal semicircular canal, and the ossicular chain was unbroken in 23 cases (35%). Thus, the findings support the idea of the primary soft-tissue spread of cholesteatoma in children. Five ears (8%) discharged postoperatively, and three ears (5%) were reoperated on and showed residual tympanal cholesteatoma. Cavity obliteration with canal wall down technique proved safe, even in the cases of the most extensive and active cholesteatoma.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002781:Cholesteatoma / Q000150:complications / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D004427:Ear Diseases / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D004429:Ear Ossicles / Q000473:pathology; D004432:Ear, Middle / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D006309:Hearing; D006801:Humans; D007223:Infant; D008416:Mastoid / Q000473:pathology