A PROSPECTIVE STUDY OF CHOLESTEATOMA IN PAEDIATRIC AGE GROUP AND ITS MANAGEMENT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 11
Abstract
INTRODUCTION A cholesteatoma (sometimes called a keratoma) is an abnormal growth of squamous epithelium in the middle ear and mastoid.1 It may progressively enlarge to surround and destroy the ossicles, resulting in conductive hearing loss. Hearing loss also may occur if the cholesteatoma obstructs the eustachian tube orifice, leading to middle ear effusion. Surgical therapy is required for most cholesteatomas. The extent and effectiveness of surgery depends upon the size of the cholesteatoma. Early diagnosis is crucial to an optimal outcome In children this disease is more aggressive and complex and leads to many complications and the treatment is mostly surgical.2 This study is chosen because the incidence of recurrence and residual disease is higher in children and its management is very challenging. OBJECTIVE To study the clinical features, disease process. spread and management of cholesteatoma in paediatric age group (less than 16 years). MATERIALS AND METHODS A prospective study was conducted at Govt. ENT Hospital over a period of two years that included 50 cases of cholesteatoma in paediatric age group. RESULTS Surgical treatment by Mastoidectomy was done in all cases. Out of 50 cases after surgery 33 patients had dry ear and improvement in hearing 7 patients had recurrence of disease 8 patients had cavity problems like discharge from the ear and 2 patients developed neurological complications. CONCLUSION Childhood cholesteatoma has an aggressive nature with tendency for complications hence its treatment is very challenging. Eradication of disease and restoration of hearing should be the primary goal of treatment. Long term follow up is important to monitor the disease recurrence.
Authors and Affiliations
Nagaraj K, Ravishankar V, Srinivas K, Shoban Babu A, Rathod J. B. S, Sreedhar Reddy D, Shanker T, Ramji Ramji
Keywords
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- EP ID EP232395
- DOI 10.18410/jebmh/2016/77
- Views 97
- Downloads 0
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