Clinical and surgical aspects of cholesteatomas in children.
A review of 101 charts of pediatric patients who underwent surgery for cholesteatoma in the Hospital das Clínicas, São Paulo, Brazil, showed that the peak incidence was in the 10- to 15-year-old age group (mean age, 10.7 years). A high incidence of complications (45.5%) and a significant functional impairment (air-bone gap greater than 40 dB in 49% of patients) were some of the particular features of our patients. Radical or modified radical mastoidectomies were performed in 75 cases (74.3% of cases). The open technique was chosen primarily to eradicate cholesteomatous disease, but the satisfactory functional results also achieved support our preference for this technique.
Departamento de Otorrinolaringologia, Hospital das Clínicas-Faculdade Medicina USP, Brazil.
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OL
Cruz
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M
Takeuti
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Caldas Neto
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Miniti
D000293:Adolescent; D001938:Brazil; D002648:Child; D002675:Child, Preschool; D002781:Cholesteatoma / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D004427:Ear Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D006297:Health Services Accessibility / Q000191:economics; D006320:Hearing Tests; D006801:Humans; D015994:Incidence; D008416:Mastoid / Q000601:surgery*; D012008:Recurrence