کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4110180 1605740 2012 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Acquired cholesteatoma in children: Strategies and medium-term results
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
Acquired cholesteatoma in children: Strategies and medium-term results
چکیده انگلیسی

SummaryObjectivesTo assess paediatric cholesteatoma surgical management strategies, residual disease and recurrence rates and especially the medium-term auditory impact.Material and methodsRetrospective study of 22 cases of acquired middle ear cholesteatoma selected from a series of 77 children under the age of 16 operated for cholesteatoma between 1st January 2000 and 31st December 2003 on the basis of the following criteria: first-line surgical management with postoperative follow-up greater than four years. Surgical strategies, preoperative and postoperative (at 1 year and at the final visit) audiograms and residual disease and recurrence rates were analysed.ResultsA canal wall up tympanoplasty was performed in 82% of cases as first-line procedure and a canal wall down tympanoplasty was performed in 32% of cases. Residual cholesteatoma was observed in 9% of cases and recurrent disease was observed in 18% of cases. The mean preoperative hearing loss was 26 dB with an air-bone gap of 23 dB with values of 26 dB and 20 dB respectively at the end of follow-up.ConclusionThe majority of children were operated by two-stage canal wall up tympanoplasty. Long-term hearing results remained stable and close to preoperative values. The recurrence rate (residual disease and relapse) was low (27%), as reported in the literature.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Annals of Otorhinolaryngology, Head and Neck Diseases - Volume 129, Issue 5, October 2012, Pages 225–229
نویسندگان
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