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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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