DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20182705

Acquired cholesteatoma in children: presentation, complications and management

Prabhu Khavasi, Karra Bhargavi, Santosh P. Malashetti, Yasha C.

Abstract


Background: Acquired cholesteatoma in children is an aggressive disease due to its rapid growth and high recurrence rate. The objective of the study was to assess clinical features of cholesteatoma in children and evaluate our experience in the overall management of this disease.

Methods: This is a retrospective study of 20 children aged 6-15 years operated on for acquired middle ear cholesteatoma from June 2016 to December 2017. An analysis was made about the clinical and operative findings, surgical approaches and the overall management of complications. The data were then compared with the relevant and available literature.  

Results: Majority of the children presented with complaints of otorrhoea (100%), decreased hearing (90%), otalgia (50%), complications (25%) and most of them (85%) were operated by canal wall down mastoidectomy technique (CWD).

Conclusions:Canal wall down mastoidectomy is the optimal management technique for adequate exposure and removal of cholesteatoma in paediatric population.

 


Keywords


Cholesteatoma, Cholesteatoma in children, Mastoidectomy

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References


Drahy A, De Barros A, Lerosey Y, Choussy O, Dehesdin D, Marie JP. Acquired cholesteatoma in children: strategies and medium-term results. Eur Ann Otorhinolaryngol Head Neck Dis. 2012;129:225-9.

Morita Y, Yamamoto Y, Oshima S, Takahashi K, Takahashi S. Acquired cholesteatoma in children: clinical features and surgical outcome. Auris Nasus Larynx. 2014;41:417-21.

Schraff S, Strasnick B. Pediatric cholesteatoma: a retrospective review. Int J Pediatr Otorhinolaryngol. 2006;70:385-93.

Gocmen H, Kilic R, Ozdek A, Kizilkaya Z, Safak M, Samim E. Surgical treatment of cholesteatoma in children. Int J Paediatr Otorhinolaryngol. 2003;67:867-72.

De Corso E, Marchese MR, Scarano E, Paludetti G. Aural acquired cholesteatoma in children: surgical findings, recurrence and functional results. Int J Paediatr Otorhinolaryngol. 2006;7:1269-73.

James Adrian L. Endoscopic middle ear surgery in children. Otolaryngol Clin North Am. 2013;46:233-44.

Brown JS. A ten year statistical follow-up of 1142 consecutive cases of cholesteatoma: the closed vs. the open technique. Laryngoscope. 1982;92:390-6.

Bujia J, Holly A, Antoli-Candela F, Tapia MG, Kastenbauer E. Immunobiological peculiarities of cholesteatoma in children: quantification of epithelial proliferation by MIBI. Laryngoscope. 1996;106:865-8.

Shirazi Mobeen A, Muzaffar Kamil, Leonetti John P, Marzo Sam. Surgical treatment of pediatric cholesteatomas. Laryngoscope. 2006;116:1603-07.

Dornelles Cde C, da Costa SS, Meurer L, Rosito LP, da Silva AR, Alves SL. Comparison of acquired cholesteatoma between pediatric and adult patients. Eur Arch Otorhinolaryngol. 2009;266:1553-61.

Wetmore RF, Konkle DF, Potsic WP, Handler SD. Cholesteatoma in the pediatric patient. Int J Pediatr Otorhinolaryngol. 1987;14:101-12.

Kathleen CY. Pediatric clinics of North America. 1996;43:1245-52.

Leighton SE, Robson AK, Anslow P, Milford CA. The role of CT imaging in the management of chronic suppurative otitis media. Clin Otolaryngol. 1993;18:23-9.

Nevoux J, Lenoir M, Roger G, Denoyelle F, DucouLePointe H, Garabedian N. Childhood cholesteatoma. Eur Ann Otorhinolaryngol Head Neck Dis. 2010;127:143-50.

Rosenfeld RM, Moura RL, Bluestone CD: Predictors of residual-recurrent cholesteatoma in children. Arch Otolaryngol Head Neck Surg. 1992;118:384-91.

Stern SJ, Fazekas-May M. Cholesteatoma in the pediatric population: Prognostic indicators for surgical decision making. Laryngoscope. 1992;102:1349-52.

Vartiainen E. Factors associated with recurrence of cholesteatoma. J Laryngol Otol. 1995;109:590-2.

Mills RP, Padgham ND. Management of childhood cholesteatoma. J Laryngol Otol. 1991;105:343-5.

Park KT, Song JJ, Moon SJ, Lee JH, Chang SO, Oh SH. Choice of approach for revision surgery in cases with recurring chronic otitis media with cholesteatoma after the canal wall up procedure. Auris Nasus Larynx. 2011;38:190-5.

Osborn AJ, Papsin BC, James AL. Clinical indication for canal-wall down mastoidectomy in a pediatric population. Otolaryngol Head Neck Surg. 2012;147:316-22.

Sun J, Sun J, Hu Y, Lv Q, Wang Y, Li X, et al. Canal-wall down mastoidectomy with mastoid obliteration for pediatric cholesteatoma. Acta Oto Laryngol. 2010;130:259-62.

Hajri H, Mannoubi S, Ben Mansour Mh, Kaffel N, Marrakchi M, Kooli H, et al. Le cholesteatome de I’enfant. J Tun ORL. 2005;15:5-8.

Tos M. Pathology of the ossicular chain in various chronic middle ear diseases. J Laryngol Otol. 1979;93:769-80.


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