Staging for cholesteatoma in the child, adolescent, and adult.
A closed tympanomastoidectomy with subsequent staged surgical procedures leading to the excision of cholesteatoma was validated as described. All elements of staging with a 10-year experience of 354 patients are covered according to categories of child (0 to 9 years), adolescent (10 to 15 years), and adult. The child differed from the adolescent and adult in the following manner: more recurring cholesteatomas, greater ossicular necrosis, poorer hearing results, less aggressive residual cholesteatoma, and significantly poorer results with pars flaccida cholesteatoma than pars tensa cholesteatoma. After the end stage, 90% of the cases remained closed, with acceptable hearing in 60% of the patients.
Schuring
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Warren Otologic Group, OH 44484.
Lippy
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WH
Rizer
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FM
Schuring
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LT
D000293:Adolescent; D000328:Adult; D002648:Child; D002781:Cholesteatoma / Q000473:pathology / Q000601:surgery*; D004427:Ear Diseases / Q000473:pathology / Q000601:surgery; D004429:Ear Ossicles / Q000601:surgery; D004432:Ear, Middle / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006309:Hearing; D006801:Humans; D008416:Mastoid / Q000601:surgery; D009998:Ossicular Prosthesis; D012008:Recurrence; D012086:Reoperation; D013524:Surgical Flaps; D013997:Time Factors