کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6213773 1606003 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Canal wall reconstruction and preservation in the surgical management of cholesteatoma in children with Down's syndrome
ترجمه فارسی عنوان
بازسازی و حفظ دیواره کانال در مدیریت جراحی کلستئاتوم در کودکان مبتلا به سندرم داون
کلمات کلیدی
کلستئاتوم، سندرم داون، کانال دیوار پایین حفاظت از دیوار کانال، بازسازی دیوار کانال،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

IntroductionDown's syndrome is associated with poor Eustachian tube function, and an increased incidence of cholesteatoma. The only previously published case series suggests that 'canal wall preserving' procedures are only rarely suitable for the management of cholesteatoma in this population.MethodsWe conducted a retrospective review of the hospital's clinical records database to identify patients with Down's syndrome and cholesteatoma. These patients' notes were then reviewed.ResultsWe identified nine patients with Down's syndrome who had undergone surgical management of cholesteatoma over a twelve year period. Three patients had bilateral disease, meaning twelve ears were treated. Seven ears were initially treated with 'canal wall down' procedures. Four out of five of the remaining ears were successfully treated using 'canal wall preservation' or 'canal wall reconstruction', with one ear requiring subsequent conversion to a 'canal wall down' approach.ConclusionCanal wall preservation/reconstruction is feasible in patients with Down's syndrome, even when cholesteatoma extends into the mastoid.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Pediatric Otorhinolaryngology - Volume 78, Issue 10, October 2014, Pages 1747-1751
نویسندگان
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