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Cholesteatoma: Ossicular destruction in adults and children

Published online by Cambridge University Press:  29 June 2007

J. Sadé  and
C. Fuchs
J. Sadé*
Affiliation:
Ear Research Laboratory, Sackler School of Medicine and Bioengineering Program, Sara and Felix Dumont Chair for Hearing Research, Tel Avi University, Ramat Aviv, Israel.
C. Fuchs
Affiliation:
Department of Statistics, Raymond and Beverly Sackler Faculty of Exact Sciences, Tel Aviv University, Ramat Aviv, Israel.
*
Professor Jacob Sadé.14 Hagefen Street, Ramat Hasharon 47254, Israel.
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Abstract

The records of 148 adults (aged 14 years and older) presenting previously untreated aural cholesteatomas are analysed with particular emphasis on ossicular destruction and other bony lesions in the middle ear. The findings are compared with those obtained in an earlier study of 63 children (aged 13 years and younger), also with untreated cholesteatomas. The rate of stapes and malleus destruction was similar in adults and children. The rate of incus destruction was significantly higher in adults. Semicircular fistulas as well as facial paralysis were also more prevalent amongst adults. Therefore, the notion of childhood cholesteatoma aggressiveness cannot be related to its effect on these bony structures. It may stem from its higher recurrence rate and from the more troublesome post-operative mastoid cavities, which are often larger in children than in adults.

Keywords

CholesteatomaEar ossicles
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 7 , July 1994 , pp. 541 - 544
Copyright
Copyright © JLO (1984) Limited 1994

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References

Baron, S. H. (1977) Experience with surgery of aural cholesteatoma. In Cholesteatoma (McCabe, B. F., Sade, J., Abramson, M., eds) Aesculapius Publishing Co., Birmingham, Alabama, pp 368–373.Google Scholar
Brown, M. B. (1985) BMDP 4F-frequency tables. In BMDP Statistical Software. (Dixon, W. Y. ed.), University of California Press, Berkley, pp 143–206.Google Scholar
Diamant, M. (1952). Chronic Otitis S. Karger Publications, Basel and New York, pp 11–27.Google ScholarPubMed
Doland, K. D. (1979) Mastoid pneumatization. In Secretory Otitis Media and its Sequelae. (Sadé, J., ed.), Churchill Livingstone, New York, pp 298–303.Google Scholar
Ritter, F. N. (1977) Complications of cholesteatoma. In Cholesteatoma. (McCabe, B. F., Sadé, J., Abramson, M., eds.), Aesculapius Publishing Co., Birmingham, Alabama, pp 430–437.Google Scholar
Sadé, J. (1977) Post-operative cholesteatoma recurrence in cholesteatoma. In Cholesteatoma. (McCabe, B. F., Sade, J., Abramson, M., eds.), Aesculapius Publishing Co., Birmingham, Alabama, pp 384–389.Google Scholar
Sadé, J., Avraham, S., Brown, M. (1981 a) Atelectasis retraction pockets and cholesteatoma. Acta Otolaryngologica 92: 501–512.CrossRefGoogle ScholarPubMed
Sadé, J., Berco, E., Buyanover, D. (1981b) Ossicular damage in chronic middle ear inflammation. Acta Otolaryngologica 92: 274–283.CrossRefGoogle ScholarPubMed
Sadé, J. (1982a) Treatment of retraction pockets and cholesteatoma. Journal of Laryngology and Otology 46: 685–704.CrossRefGoogle Scholar
Sadé, J., Weinberg, E., Berco, E. (1982b) The marsupialized (radical) mastoid. In Cholesteatoma and Mastoid Surgery. (Sadé, J., ed.), Kugler Publications, Amsterdam and New York. pp 537–542.Google Scholar
Sadé, J., Shatz, A. (1988) Cholesteatoma in children. Journal of Laryngology and Otology 102: 1003–1006.CrossRefGoogle ScholarPubMed
Sadé, J. (1993) Treatment of cholesteatoma and retraction pockets. European Archives of Otolanngology 250: 193–199.Google ScholarPubMed
Sheeny, J. L., Brackmann, D. E., Graham, M. D. (1977) Complications of cholesteatomas. In Cholesteatoma. (McCabe, B. F., Sadé, J., Abramson, M., eds.), Aesculapius Publishing Co., Birmingham, Alabama, pp 420–429.Google Scholar
Valvassori, G. E., Potter, G. D., Hanufee, W. N. (1980) Radiology of the Ear, Nose and Throat, George Thieme Publications, Stuttgart and New York, pp 57–59.Google Scholar