Clinical and pathological features of cholesteatoma in young children
Journal Title: Otolaryngologia Polska - Year 2010, Vol 64, Issue 6
Abstract
SUMMARY Introduction: Children cholesteatoma have been shown to demonstrate aggressive growth with greater extension and higher rates residual and recurrent disease compared with adults, due to anatomic and physiologic differences. Aim: This study aimed to determine the clinical and pathological features of cholesteatoma in young children less than 7 years of age. Material and methods: Retrospective review of a group of 23 children (24 ears) who had cholesteatoma surgery between 1996 and 2004. Patients ages ranged from 1.8 to 7 years, follow up from 3.5 to 12 years (mean 7.4). Medical history (previous otorrhea, hearing loss) and contralateral ear status was analyzed. The extent of cholesteatoma and ossicular destruction for attic, pars tensa I and pars tensa II type and congenital of cholesteatoma was graded using of Saleh and Mills classification. Residual and recurrent disease depending on type of cholesteatoma, extent of the disease, type of surgery and contalateral ear status was assessed. Results: Otorrhea and hearing loos are the most common clinical symptoms observed in 90% and 59% children. 70% of treated children had otitis media with effusion and/or its sequel in contralateral ear. 60% of acquired cholesteatomas were classified as S3 and S4 extension during surgery with ossicular destruction in 46% of attic cholestatoma. 75% operated ears had a signs of mucosa inflammation during surgery. Residual cholesteatoma was observed in 38.5% ears with attic cholesteatoma and in 25% with pars tensa I cholesteatoma. Conclusion: Acquired cholesteatoma in young children are diagnosed in the advanced stages with ossicular chain destruction. High rate of recidivism after surgery, particularly in attic cholesteatomas is observed. Most of operated ears have symptoms of inflammation of middle era mucosa during surgery and otitis media with effusion in contralateral ear and because of that need long-term follow up and constant observation.
Authors and Affiliations
Elżbieta Skotnicka
Keywords
Related Articles
- EP ID EP51999
- DOI -
- Views 105
- Downloads 0
A case of giant pleomorphic adenoma of the parotid gland
Introduction. A case of pleomorphic adenoma of the parotid gland was reported. Pleomorphic adenoma is the most common benign tumor of the major salivary glands. A review of the literature confi rms that this kind of tumo...
CD80 and CD86 coreceptors expression on lymphocytes B in hypertrophied adenoids in children with otitis media with effusion
Aim: The aim of this study was evaluation of the percentage and mean fluorescence intensity of lymphocytes B with expression CD80 and CD86 in hypertrophied adenoids in children with otitis media with effusion. Material a...
Przerzuty nowotworów złośliwych do ślinianki przyusznej i regionu przyusznicy
Introduction: Among the malignant tumors found within the parotid gland, the primary tumors, as well as a metastatic tumors may be found. Aim: Epidemiological and clinical characteristic, and preliminary assessment of tr...
Wznowy raka podstawnokomórkowego (BCC) twarzy w materiale Oddziału Chirurgii Głowy i Szyi i Onkologii Laryngologicznej Wielkopolskiego Centrum Onkologii w latach 2007-2010
Localised Castleman's disease of benign clinical cours
SUMMARY Introduction: Castleman's disease is defined as enlarged follicules with the presence of abnormal germinal centres, vascular proliferationand endothelial hyperplasia. There are three histopathological types: hyal...