title: Anatomical and surgical particularities of cholesteatomas in children.
abstract: In children, cholesteatoma is closely related to dysfunction of the eustachian tube and evolves inside a malleable temporal bone. The importance of auditory and speech functions in such patients has caused us to use a very particular clinical philosophy. At the present time we have studied 154 cases of cholesteatomas in children under 15 years old. The following three points have been shown: the pathogenesis of a cholesteatoma can be of the primary type, secondary (due to an unfavorable extension of retraction pocket or to squamous cell migration) or even be iatrogenic; anatomical and clinical findings (with X-ray studies) predicate the treatment used; surgical treatment frequently requires a "second-look" operation.
authors.affiliation: Clinique Universitaire d'ORL, Bordeaux, France.
authors.forename: B
authors.initials: B
authors.lastname: Raffin
authors.forename: G
authors.initials: G
authors.lastname: Lacher
authors.forename: F
authors.initials: F
authors.lastname: Devars
authors.forename: C
authors.initials: C
authors.lastname: Benassayag
authors.forename: P
authors.initials: P
authors.lastname: Boudard
authors.forename: L
authors.initials: L
authors.lastname: Traissac
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002781:Cholesteatoma / Q000601:surgery*; D002908:Chronic Disease; D006801:Humans; D008876:Middle Ear Ventilation; D010033:Otitis Media / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D012008:Recurrence; D012086:Reoperation