Anatomical and surgical particularities of cholesteatomas in children.
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.
Raffin
B
B
Clinique Universitaire d'ORL, Bordeaux, France.
Lacher
G
G
Devars
F
F
Benassayag
C
C
Boudard
P
P
Traissac
L
L
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