Hostname: page-component-848d4c4894-pjpqr Total loading time: 0 Render date: 2024-06-25T07:21:49.640Z Has data issue: false hasContentIssue false
  • English
  • Français

Cholesteatoma in children

Published online by Cambridge University Press:  29 June 2007

J. Sadé  and
A. Shatz
J. Sadé*
Affiliation:
Department of Otolaryngology, Meir Hospital, Kfar Saba, Israel. Tel-Aviv University, Sackler School of Medicine, Israel.
A. Shatz
Affiliation:
Department of Otolaryngology, Meir Hospital, Kfar Saba, Israel. Tel-Aviv University, Sackler School of Medicine, Israel.
*
Professor Jacob Sadé, Department of Otolaryngology, Meir Hospital, Kfar Saba 44281, Israel.
Get access Rights & Permissions [Opens in a new window]

Abstract

Of 325 previously untreated cholesteatomas, 109 were found to be in children 13 years old and younger—however, these 109 ears were not found to consist of one clinical entity. Sixty-three of the 109 ears presented a marginal perforation or a retraction pocket, at the level of Shrapnell's membrane or beyond the posterosuperior quadrant. In this group the cholesteatoma was distributed mainly in the attic and mastoid and was associated with a non-cellular mastoid. A second group comprising 31 ears presented with cholesteatoma behind an intact drum and were considered to be primary cholesteatomas. These were distributed mostly in the tympanic cavity as cystic epidermoid formations—their mastoid was usually pneumatized. Eight cholesteatomas were related to a central perforation. These ears presented features very similar to the primary cholesteatomas i.e., a pneumatized mastoid and tympanic cavity distribution. The similar features of this group make us think that they may have also originated as primary cholesteatomas which eventually perforated and bring the percentage of primary cholesteatomas in children to 38.3%. Seven of the 109 ears with cholesteatoma were of an indeterminate character.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 11 , November 1988 , pp. 1003 - 1006
Copyright
Copyright © JLO (1984) Limited 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baron, S. H. (1969) Management of aural cholesteatoma in children. Otolaryngological Clinics of North America, pp. 71–88.CrossRefGoogle Scholar
Cody, T. R. and Taylor, W. F. (1977) Mastoidectomy for acquired cholesteatoma. In: Cholesteatoma First International conference. (Macabe, B., Sadé, J. and Abramson, M., eds.), Aesculapius Publishing co., Birmingham, Alabama, pp. 337–351.Google Scholar
Gans, H. and Wlodyka, J. (1966) Mastoid pneumatization in chronic otitis media. Archives of Otolaryngology, 83: 343–346.CrossRefGoogle ScholarPubMed
Palva, A., Karma, P. and Karja, J. (1977) Cholesteatoma in children. Archives of Otolaryngology, 103: 74–77.CrossRefGoogle ScholarPubMed
Sadé, J., Berco, E., Buyanover, D. and Brown, M. (1981a) Ossicular damage in chronic middle ear inflammation. Acta Otolaryngologica, 92: 273–283.CrossRefGoogle ScholarPubMed
Sadé, J., Berco, E. and Brown, M. (1981b) Results of mastoid operations in various chronic ear dizeases. American Journal of Otolaryngology, 3: 11–21.Google Scholar
Sadé, J., Berco, E. and Brown, M. (1981c) Atelectasis retraction pockets and cholesteatoma. Acta Otolaryngologica, 92: 501–512CrossRefGoogle ScholarPubMed
Sadé, J. (1982) Treatment of retraction pockets and cholesteatoma. Journal of Laryngology and Otology, 96: 685–704.CrossRefGoogle ScholarPubMed
Sadé, J., Babiazki, A. and Pinkus, G. (1982) The metaplastic and congenital origin of cholesteatoma. In: Cholesteatoma and Mastoid Surgery Proceedings. 2nd International Conference Tel-Aviv, Israel March 22–27, 1981. pp. 305–309, Kugler Publications, Amsterdam.Google Scholar
Sadé, J., Berco, E. and Fucks, L. (1986) Results of preservation of posterior wall in cholesteatoma surgery as related to middle ear aeration. Journal of Laryngology and Otology, 100: 1351–1358.CrossRefGoogle ScholarPubMed
Sadé, J. and Shatz, A. (1988) Mastoid pneumatization in otosclerosis. Annals of Otology, Rhinology and Laryngology. In press.Google Scholar
Sheehy, J. L., Brackmann, D. E. and Graham, M. D. (1977) Cholesteatoma surgery: residual and recurrent disease. Annals of Otology, Rhinology and Laryngology. 86: 451–463.CrossRefGoogle ScholarPubMed