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Cholesteatoma in children: results in open versus closed techniques

Published online by Cambridge University Press:  29 June 2007

J. Marco-Algarra ,
F. Gimenez ,
I. Mallea ,
M. Armengot  and
L. De La Fuente
J. Marco-Algarra*
Affiliation:
Valencia, Spain
F. Gimenez
Affiliation:
Valencia, Spain
I. Mallea
Affiliation:
Valencia, Spain
M. Armengot
Affiliation:
Valencia, Spain
L. De La Fuente
Affiliation:
Valencia, Spain
*
Prof. Jaime Marco, Departamento de Cirugla, Facultad e Medicina, Av. de Blasco Ibañez 17, 46010 Valencia, Spain
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Abstract

Cholesteatoma in children presents characteristics that differentiate it from the adult condition. Surgery has been performed in 55 ears. The main reason for referral was otorrhoea (83 per cent), either alone (29 per cent) or with hearing loss (54 per cent). Apart from three cases with an intact eardrum, a perforation was always present mostly posterior-superior (50 per cent). Open techniques were performed in 27.3 per cent of the ears and the closed technique in 72.7 percent. Only in 18 per cent of cases was the ossicular chain normal and mobile. The attic was occupied by cholesteatoma in 79 per cent. Recurrence took place in 37 per cent and 13 per cent of the closed and open techniques respectively. Open techniques tend to be employed in the presence of extensive disease, whereas the closed technique is reserved for those with a more localized problem.

Keywords

CholesteatomaMastoid surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 10 , October 1991 , pp. 820 - 824
Copyright
Copyright © JLO (1984) Limited 1991

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References

Abramson, M. (1977) Results of the conservative surgery for middle ear cholesteatoma. Laryngoscope 87: 1281–1287.CrossRefGoogle ScholarPubMed
Andrieu-Guitrancourt, J., Dehesdin, D., Scholosser, M. (1980) Traitement de l'otite moyenne chronique cholesteatomateuse de l'enfant. Annales d'Oto-Laryngologie et de Chirurgie CervicoFaciale 97: 39–44.Google Scholar
Austin, D. F. (1977) The significance of the retraction pocket in the treatment of cholesteatoma in: Cholesteatoma first international conference (McCabe, B. F., Sade, J. and Abramson, M., Eds.), Aesculapius Publishing Co: Birmingham. p. 363–365.Google Scholar
Bellucci, R. J. (1977) Problems in surgical control of cholesteatoma in: Cholesteatoma first international conference (McCabe, B. F., Sade, J. and Abramson, M., Eds.), Aesculapius Publishing Co: Birmingham. p. 390–396.Google Scholar
Bluestone, CH. D., Cantekin, E. I., Beery, Q. S., Douglas, G. S., Stool, S. E. (1978) Function of the eustachian tube related to the surgical management of acquired cholesteatoma in children. Laryngoscope 88: 1155–1164.CrossRefGoogle Scholar
Brown, J. S. (1982) A ten-year statistical follow up of 1142 consecutive cases of cholesteatoma. The closed versus the open technique. Laryngoscope 92: 392–396.CrossRefGoogle Scholar
Charachon, R. (1985) The surgical treatment of cholesteatoma in children. Clinical Otolaryngology 10: 177–184.CrossRefGoogle ScholarPubMed
Charachon, R., Roux, O., Eyraud, S. (1980) Le cholesteatome del'oreille moyenne. Choix des technoques et results chez l'adult et chez l'enfant. Annales d'Oto-Laryngologie et de Chirurgie Cervico-Faciale 97: 65–78.Google Scholar
Charachon, R., Eyraud, S., Guenoun, A., Egal, F. (1984) Le traitement chirurgical du cholesteatome de l'enfant. Revue de Laryngologie 105: 465–474.Google Scholar
Chilia, R., Schroeder, M. (1980) Rezidivrate und Hoervermoegen nach operativer Behandlung von Mittelohrcholesteatomen mit und Ohne Erhalt der hinteren Gehoergangswand. Hals Nasen Ohren 28: 1–9.Google Scholar
Cody, D. T., Taylor, W. F. (1977) Mastoidectomy for acquired cholesteatoma, long-term results in: Cholesteatoma first international conference (McCabe, B. F., Sade, J. and Abramson, M., Eds.). Aesculapius Publishing Co: Birmingham. p 337–351.Google Scholar
Deguine, C. (1978) Long-term results in cholesteatoma surgery. Clinical Otolaryngology 3: 301–310.Google Scholar
Derlacki, E. L., Clemis, J. D. (1965) Congenital cholesteatoma of the middle ear and mastoid. Annals of Otology, Rhinology and Laryngology 74: 706–727.CrossRefGoogle ScholarPubMed
Edelstein, D. R., Parisier, S., Ahuja, C. S., Juarbe, C., Chuite, P., Wenig, S., Kaye, S. M. (1988) Cholesteatoma in the pediatric age group. Annals of Otology, Rhinology and Laryngology 97: 23–29.Google Scholar
Fombeur, J. P., Bouton, V., Dobler, S. (1980) Evaluation des differentes techniques utilisees dans le traitament des cholestëatomes. Annales d'Oto-Laryngologie et de Chirurgie CervicoFaciale 97: 85–89.Google Scholar
Glasscock, M., Dickins, J. R., Wiet, R. (1981) Cholesteatoma in children. Laryngoscope 91: 1743–1753.CrossRefGoogle ScholarPubMed
Jahnke, V. (1982) Clinical, pathological and therapeutic aspects of cholesteatoma in children in: Cholesteatoma and mastoid surgery (Sade, J., Ed.), Karger: Amsterdam. p 25–27.Google Scholar
Jansen, C. (1978) Cholesteatoma in children. Clinical Otolaryngology 3: 349–352.Google Scholar
Lacher, G. (1978) Les recidives de cholesteatomes postoperatoires en chirurgie tympanoplastique. Revue de Laryngologie 91: 576–580.Google Scholar
Mallea, I., Marco, J., Calabuig, J., Ochandio, J., Sanchiz, F. (1983) Cholesteatoma residual. Anales Otorrinolaringologicos Ibero-Americanos 10: 497–504.Google ScholarPubMed
Marquet, J. (1982) Cholesteatoma: erradication of disease in: Cholesteatoma and mastoid surgery (Sade, J., Ed.). Karger: Amsterdam. p. 475–478.Google Scholar
Olaizola, F. (1985) Cholesteatoma (Olaizola, F., Ed.) Editorial Garsi, Madrid, p 348.Google Scholar
Palmgren, O. (1979) Long-term results of open cavity and tympanomastoid surgery of the chronic ear. Acta Otolaryngologica 88: 343–349.CrossRefGoogle ScholarPubMed
Palva, A., Karma, P., Karja, J. (1977) Cholesteatoma in children. Archives of Otolaryngology, 103: 74–77.CrossRefGoogle ScholarPubMed
Portman, M., Francoise, J. H., Xin, H. (1984) A propos d'une série d'interventions pour cholestéatome. Revue de Laryngologie 105: 127–129.Google Scholar
Ruedi, L. (1958) Cholesteatosis of the attic. Journal of Laryngology and Otology 72: 593–609.Google Scholar
Sadé, J. Berco, E., Brown, M. (1981) Results of mastoid operations in various chronic ear diseases. American Journal of Otology 3: 11–20.Google ScholarPubMed
Sanna, M., Jemmi, G., Bacciu, S. (1984) Residual and recurrent cholesteatoma in closed tympanoplasty. American Journal of Otology 5: 277–282.Google Scholar
Sanna, M. (1983) Cholesteatoma in children in: Proceedings of the international course on microsurgery of the cholesteatoma if the middle ear. (Zinni, C., Ed.), Ghedini Eds: Parma. p. 157–162.Google Scholar
Schwartz, R. (1984) Cholesteatoma medial to an intact tympanic membrane in 34 young children. Pediatrics 74: 236–240.CrossRefGoogle Scholar
Sheehy, J. L. (1985) Cholesteatoma surgery in children. American Journal of Otology 6: 170–172.Google ScholarPubMed
Sterkers, J. M., Sterkers, O. (1980) Cholestéatomies reconstructives. Technique et resultats 12 ans aprés. Annales d'Oto-Laryngologie et de Chirurgie Cervico-Faciale 97: 29–34.Google Scholar
Vase, P. (1981) Posterior meatal wall reconstruction in tympanoplasty. Journal of Laryngology and Otology 95: 893–898.Google Scholar
Wayoff, M., Charachon, R., Roulleau, P., Lacher, G., Deguine, Ch. (1987) Surgical treatment of middle ear cholesteatoma in Advances in Oto-Rhino-Laryngology (Pfaltz, C., Ed.) 36, Karger: p. 237.Google Scholar
Wright, W. K. (1977) Management of the otitic cholesteatomas. Archives of Otolaryngology 103: 144–147.CrossRefGoogle ScholarPubMed