Canal wall-down mastoidectomy with mastoid obliteration for pediatric cholesteatoma.
CONCLUSIONS
As cholesteatoma is widespread and erosive, it should be cleared away thoroughly, to keep a dry ear and conserve maximum hearing ability in children. Canal wall-down mastoidectomy with mastoid and epitympanum obliteration is a good choice for treatment of cholesteatoma in children.


OBJECTIVE
To investigate canal wall-down mastoidectomy with mastoid and epitympanum obliteration for the treatment of cholesteatoma in children.


METHODS
A retrospective analysis of all cases of pediatric middle ear cholesteatoma in children aged 5-12 years between 1999 and 2006 was conducted in Anhui Provincial Hospital. The follow-up information was completed. Forty-five patients (48 ears) were treated with canal wall-down mastoidectomy with mastoid and epitympanum obliteration and followed up for 2-5 years (mean 3.1 years).


RESULTS
The recurrence rate and residual rate were 4.16% and 0%, respectively. All ears were dry within 8-10 weeks. Aural discharge was detected in two cases and controlled with antibiotic ear drops without complications. The dry ear rate was 95.8%. The air-bone gap closure had a mean of 17.2 +/- 2 dB. No obvious complication occurred after operations.
Sun
Jiaqiang
J
Department of Otolaryngology, Beijing Tongren Hospital and Key Laboratory of Otolaryngology Head and Neck Surgery, Capital Medical University, Ministry of Education, Beijing.
Sun
Jingwu
J
Hu
Yanming
Y
Lv
Qiuping
Q
Wang
Yinfeng
Y
Li
Xianguang
X
Xu
Weiqing
W
Wang
Shengjun
S
Mei
Zhenfeng
Z
Wan
Guanglun
G
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D018424:Cholesteatoma, Middle Ear / Q000473:pathology* / Q000601:surgery*; D004424:Ear Canal / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008416:Mastoid / Q000473:pathology* / Q000601:surgery*; D009998:Ossicular Prosthesis; D013506:Otologic Surgical Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000188:drug therapy; D012008:Recurrence; D012189:Retrospective Studies; D014432:Tympanic Membrane / Q000601:surgery
D000900:Anti-Bacterial Agents