Abstract
Problem: This study addressed the surgical management of pediatric cholesteatoma. Methods: The study is a 10-year retrospective review of children undergoing surgical intervention for cholesteatoma at a tertiary care pediatric hospital between July 1, 1993 and December 30, 2002. Results: During the study period 278 children underwent surgical resection of their cholesteatoma. Of these children, 221 were managed via an intact canal wall approach while the remaining 57 underwent an open cavity procedure. The overall recurrence rate in this series was 16%. Ossicular reconstruction, if necessary, was performed in a staged fashion in 89% of the intact canal wall group. Hearing results along with postoperative complications will be presented. Conclusion: Management of pediatric cholesteatoma requires a highly individualized approach that takes into account anatomic, clinical, and social factors to determine the most successful surgical treatment paradigm. Significance: The optimal treatment for pediatric cholesteatoma remains a controversial issue. Management decisions including intact canal wall versus open cavity techniques, second-look procedures, and staging ossicular reconstruction continue to be debated. Support: None reported.
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