[The selection of surgical technique for cholesteatoma in pediatric patients].
OBJECTIVE
To discuss the surgical treatments and results for cholesteatoma in pediatric patients.


METHODS
A retrospective analysis of 25 cases of cholesteatoma in pediatric patients. Out of all 25 patients, 18 underwent the tympanoplasty with open technique, 1 underwent the tympanoplasty with close technique, and 6 underwent the radial mastoidectomy.


RESULTS
During the follow-up, 24 patients were cured in first-stage surgery, no recurrent cholesteatoma was observed, no observed complications occurred after surgery. Compared with the hearing thresholds of 7 patients were improved, 7 patients' hearing thresholds had no change, and 11 patients' were decreased.


CONCLUSIONS
The cholesteatoma in children are more widespread and erosive. The surgery should completely remove the diseased tissues and then preserve the hearing. The surgery should clear away all the lesions thoroughly, and then to conserve hearing ability maximally. Surgical techniques should be chosen depending on the lesions' extension, generally the tympanoplasty with open technique was more suitable. The postoperative hearing decrease based on the diseased tissue and disease extension.
Jia
Huan
H
Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200092, China. jar20040904@gmail.com
Huang
Qi
Q
Wu
Hao
H
Zhang
Zhihua
Z
Wang
Zhaoyan
Z
Li
Yun
Y
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D018424:Cholesteatoma, Middle Ear / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome; D014433:Tympanoplasty / Q000379:methods*