Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-11T10:46:22.109Z Has data issue: false hasContentIssue false
  • English
  • Français

Management of childhood cholesteatoma

Published online by Cambridge University Press:  29 June 2007

R. P. Mills  and
N. D. Padgham
R. P. Mills*
Affiliation:
Dundee
N. D. Padgham
Affiliation:
Dundee
*
Mr R. P. Mills, Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY.
Get access Rights & Permissions [Opens in a new window]

Abstract

We report a retrospective study of 54 children with 57 involved ears who underwent surgery for cholesteatoma before their sixteenth birthdays. The majority of these underwent open cavity operations (modified radical mastoidectomy, radical mastoidectomy or atticotomy). The incidence of residual disease was only 6 per cent and overall 70 per cent of ears have been free of chronic discharge. The post-operative hearing thresholds were disappointingly low, though overall no worse than those recorded before surgery. The mean post-operative hearing level for the group was 39 dB and the mean air-bone gap was 29 dB. Open cavity surgery is the method of choice for childhood cholesteatoma, mainly because of the low incidence of residual disease.

Keywords

CholesteatomaOtitis media, suppurativeMastoid surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 5 , May 1991 , pp. 343 - 345
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Charachon, R., Gratacap, B. (1985) The surgical treatment of cholesteatoma in children. Clinical Otolaryngology, 10: 177–284.CrossRefGoogle ScholarPubMed
Glasscock, M. E. III, Dickens, J. R. E., Weit, R. (1981) Cholesteatoma in children. Laryngoscope, 91: 1743–1753.CrossRefGoogle ScholarPubMed
Guerrier, T. H. (1988) Open cavity mastoidectomy in children: Hearing results at five years. In: Advance in Oto-Rhino-Laryngology, 40: Paediatric Otology, Karger, Basel. 131–141.Google Scholar
Jansen, C. (1978) Cholesteatoma in children. Clinical Otolaryngology, 3: 349–342.CrossRefGoogle ScholarPubMed
Mills, R. P. (1988) Surgical management of the discharging mastoid cavity. Journal of Laryngology and Otology, Supplement 16: 1–2.CrossRefGoogle ScholarPubMed
Palva, A., Karma, P., Karja, J. (1977) Cholesteatoma in children. Archives of Otolaryngology 103: 74–77.CrossRefGoogle ScholarPubMed
Sanna, M., Zini, C., Gamoletti, R., Russo, A., Scandellari, R., Taibah, A. (1988) Surgery for congenital and aquired cholesteatoma in children. In: Advances in Oto-Rhino-Laryngol, 40: Pediatric Otology. Karger, Basel, pp. 124–130.Google Scholar
Sheehy, J. C. (1978) Management of cholesteatoma in children. ORL, 23: 58–64.Google ScholarPubMed
Tos, M. (1988) Incidence, etiology and pathogenesis of cholesteatoma in childhood. In: Advances in Oto-Rhino-Laryngology, 40: Pediatric Otology, Karger, Basel, 110–117.Google Scholar