Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experience
DOI:
https://doi.org/10.34631/sporl.459Keywords:
pediatric cholesteatoma, mastoidectomy, cholesteatoma treatmentAbstract
Objective: To review cases of cholesteatoma in pediatric age HFF during a period of 12 years.
Study design: Retrospective review.
Material and methods: Analysis of 30 cases of children undergoing surgical intervention for cholesteatoma from January 2000 to December 2011.
Results: At presentation, cholesteatoma was extensive in most cases. These children were managed with open technique mastoidectomy (66.7%), closed technique mastoidectomy (26.7%), transmeatal atticotomy (3.3%) and cholesteatoma removal from tympanic membrane (3.3%). The mean postoperative air-bone GAP was 22.5 dB. Postoperative air-bone GAP distributed as follows: 16,7% of children had 0-10dB GAP, 10% of chlidren had a 11-20dB GAP, 30% of children had a GAP 21-30 dB in 30%, and 16.7% had a more than 30 dB GAP. The auditory results were unknown in 26.7% of cases. The recurrence rate of cholesteatoma was 23.3%
Conclusions: In our study, cholesteatoma was extensive and aggressive. Most children were managed with open technique. For good results the approach should be individualized, taking into account clinical, anatomical and social factors.
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