[Studying the effect of surgery for cholesteatoma in children].
OBJECTIVE
To study the impact of surgical treatment on hearing for cholesteatoma in children.


METHODS
The retrospective survey was carried out in 62 children with cholesteatoma treated surgically over a 5-year period. Sixty patients had acquired cholesteatoma and two had congenital cholesteatoma. Forty-eight patients had extensive invasion that required canal wall-down mastoidectomy. Twelve patients with attic cholesteatoma underwent canal wall-up mastoidectomy, and 2 patients with cholesteatoma localized to the middle-ear space were adequately treated with tympanic exploration.


RESULTS
Hearing was improved in 42 cases, preserved in 13 cases, became worse in 7 cases. A secondary surgical procedure for recidivistic (recurrent or residual) disease was performed in 3 cases. Facial paralysis was noted in 2 patients before surgical operation, and 2 patients had sensorineural hearing loss.


CONCLUSIONS
This study confirmed the aggressiveness of cholesteatoma in children and demonstrated the need for careful preoperative evaluation, meticulous surgical technique, and prudent postoperative follow-up.
Department of Otolaryngology, the First Hospital of China Medical University, Shenyang, 110001, China. qiaoxiuyan@hotmail.com
Xiuyan
X
Qiao
Xuejun
X
Jiang
Lian
L
Hui
D000293:Adolescent; D001299:Audiometry; D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006309:Hearing; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome