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The selection of surgical technique for middle ear cholesteatoma in pediatric patients

Presenting Author: Chen Xiaohua

Published online by Cambridge University Press:  03 June 2016

Chen Xiaohua  and
Zhaobing Qin
Chen Xiaohua
Affiliation:
The First Affiliated Hospital of Zhengzhou University
Zhaobing Qin
Affiliation:
The First Affiliated Hospital of Zhengzhou University
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Abstract

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Learning Objectives:

Method: A retrospective analysis of all cases of pediatric primary acquired cholesteatoma aged 6–14 years old between May, 2005 and August, 2009 was conducted. 86 patients(89 ears) were treated and followed from 1 to 7 years[ the average is (3.8 ± 2.5) years].

Result: During the follow-up, intact canal wall mastoidectomy with tympanoplasty(ICW) was the primary surgical treatment in 38 patients(38 ears) initially, the recidivism rate was 18%(7/38), 48 patients(51 ears) underwent canal wall down mastoidectomy with tympanoplasty(CWD), the recidivism rate was 6%(3/51), the achieved rate of PTA was 68%(35/51).

Conclusion: ICW had the advantage which could preserve the physical structure of external auditory canal, however, the cholesteatomas in pediatric patients are more wide spread and erosive. The surgery should completely remove the diseased tissues and then preserve the hearing. Surgical techniques should be depending on the lesions extension, generally the tympanoplasty with open technique was more suitable.

Objective: To discuss the best strategy in surgical treatment for middle ear cholesteatoma in pediatric patients.

Method: A retrospective analysis of all cases of pediatric primary acquired cholesteatoma aged 6–14 years old between May, 2005 and August, 2009 was conducted. 86 patients(89 ears) were treated and followed from 1 to 7 years[ the average is (3.8 ± 2.5) years].

Result: During the follow-up, intact canal wall mastoidectomy with tympanoplasty(ICW) was the primary surgical treatment in 38 patients(38 ears) initially, the recidivism rate was 18%(7/38), 48 patients(51 ears) underwent canal wall down mastoidectomy with tympanoplasty(CWD), the recidivism rate was 6%(3/51), the achieved rate of PTA was 68%(35/51).

Conclusion: ICW had the advantage which could preserve the physical structure of external auditory canal, however, the cholesteatomas in pediatric patients are more wide spread and erosive. The surgery should completely remove the diseased tissues and then preserve the hearing. Surgical techniques should be depending on the lesions extension, generally the tympanoplasty with open technique was more suitable.