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Cholesteatoma in the pediatric population: Prognostic indicators for surgical decision making
Author(s) -
Stern Scott J.,
FazekasMay Mary
Publication year - 1992
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199212000-00007
Subject(s) - cholesteatoma , medicine , surgery , ear canal , middle ear , sinus (botany) , population , tympanoplasty , radiology , biology , botany , environmental health , genus
Abstract A review of surgical therapy for pediatric cholesteatoma at the Arkansas Children's Hospital was performed. Fifty‐three children treated surgically for cholesteatoma were studied over a 10‐year period. Primary acquired, or attic retraction cholesteatomas, were generally treated with a canal up tympanomastoidectomy; there were very few complications or secondary procedures in this group. Middle ear or secondary acquired cholesteatomas were initially treated by both canal up and canal down procedures; however, a large percentage of these patients eventually required an open cavity procedure. The presence of cholesteatoma in the sinus tympani strongly predicted failure to control disease with a canal up procedure ( P < .05); conversely, the absence of matrix in the sinus tympani was predictive for success when a canal up procedure was used for attic cholesteatoma ( P < .05). Finally, it was determined that follow‐up was not adequate in our patient population. With this in mind, guidelines for the management of pediatric cholesteatoma will be presented.