Korean J Otorhinolaryngol-Head Neck Surg.  2016 Mar;59(3):194-201. 10.3342/kjorl-hns.2016.59.3.194.

Usefulness of Endoscopic Removal of Congenital Cholesteatoma in Children

• Yang CJ
• Kim SH
• Chung JW

• KMID: 2160425
• DOI: http://doi.org/10.3342/kjorl-hns.2016.59.3.194

Abstract

BACKGROUND AND OBJECTIVES
The use of endoscope has led to new treatment options for middle ear pathologies. The aim of this study is to report on endoscopic ear surgeries for the removal of middle ear cholesteatoma and discuss about the usefulness of endoscopic approach to congenital cholesteatoma in children.
SUBJECTS AND METHOD
Five pediatric patients with congenital cholesteatoma were enrolled in this study. Cholesteatoma was removed via transcanal endoscopic approach in all patients. Medical records were reviewed retrospectively. We analyzed the clinical characteristics, surgical management and treatment outcomes.
RESULTS
The average age of patients was 3.7 years. Cholesteatoma was observed in the anterior portion of tympanic membrane in four patients, and in the posterior portion in one patient. Endoscopic techniques were used exclusively in four patients, but one patient was treated by microscopic approach using a combined technique. Cholesteatoma was fully removed and we confirmed by endoscopic examination that no remnant lesions remained. Surgical complications such as vertigo, sensorineural hearing loss, infection, or bleeding were not seen postoperatively. Average hospital stay was 1.2 days.
CONCLUSION
Results showed that this technique was beneficial for treating cholesteatoma in limited cases. Endoscopic surgical techniques produced good intraoperative and postoperative results in removing pediatric congenital cholesteatoma and will gain importance in the otological surgery in the future.

Keyword

Cholesteatoma; Congenital; Endoscopic; Pediatric; Removal

MeSH Terms

Child*
Cholesteatoma*
Cholesteatoma, Middle Ear
Ear
Ear, Middle
Endoscopes
Hearing Loss, Sensorineural
Hemorrhage
Humans
Length of Stay
Medical Records
Pathology
Retrospective Studies
Tympanic Membrane
Vertigo