Problems in diagnosis and treatment of cholesteatoma in children.
Our clinical study includes 56 cases of cholesteatoma in children aged 3-14 years, treated in a 6-year period. Cholesteatoma was localized in attic (6 cases), in middle ear (6 cases), in attic plus middle ear (16 cases) and in attic + middle ear + mastoid (28 cases or 50% of the total number). In the surgical treatment combined approach tympanoplasty (intact canal wall technique) was used in 76.8%, radical tympanomastoidectomy in 16.1%, and other techniques in 7.1%. Intact ossicular chain was found in 25%. Reconstruction of the ossicular chain (including autograft, homograft and allograft material) was done in 59%, and the remaining 16% were treated by classic radical surgery. Hearing results: unchanged, 48%; improved, 45%; slightly worsened, 7%; and no dead ear. Recurrency in 31% is considerably higher as compared to 15% in adults found in another comparable study by us.
Mitrović
M
M
ENT Clinic, Military Medical Academy, Belgrade, Yugoslavia.
Haralampiev
K
K
Dzinić
M
M
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002781:Cholesteatoma / Q000175:diagnosis / Q000601:surgery*; D004427:Ear Diseases / Q000175:diagnosis / Q000601:surgery; D004429:Ear Ossicles / Q000601:surgery; D004432:Ear, Middle / Q000601:surgery; D005500:Follow-Up Studies; D006309:Hearing; D006801:Humans; D008416:Mastoid / Q000601:surgery; D012008:Recurrence; D014433:Tympanoplasty