Clinical Aspects and Surgical Outcomes of Congenital Cholesteatoma in 93 Children: Increasing Trends of Congenital Cholesteatoma from 1997 through 2012
Journal of Audiology & Otology
;
: 168-173, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-195555
ABSTRACT
BACKGROUND AND OBJECTIVES:
The recent increase in the reported incidence of congenital cholesteatoma (CC) may be secondary to the widespread use of otoendoscopy as well as an increased awareness of these lesions among primary care physicians. However, little research about CC has been conducted in a large group of patients. This study aimed to analyze the clinical characteristics of CC including the annual number of patients, symptoms, age at diagnosis, stage and type of disease, surgical techniques, recurrence, and postoperative complications. SUBJECTS ANDMETHODS:
Retrospective chart review was performed for patients who met the inclusion criteria between January 1997 and June 2012.RESULTS:
Ninety-three patients underwent surgery for CC. The age at operation ranged from 12 months to 17 years (mean age, 6.1 years). The number of patients was less than 4 per year until 2005, but increased to more than 10 per year since 2008. CC was most commonly reported as an incidental finding (58.1%). The operative procedures included the transcanal myringotomy approach (46.2%), canal wall up mastoidectomy (37.6%), tympanoplasty (8.6%), and canal wall down mastoidectomy (7.5%). The recurrence rate was 20.4% and the complication rate was 12.9%. No patients with stage I CC had complications.CONCLUSIONS:
This study showed that the incidence of CC has recently increased notably. Most patients with stage I and II CC were completely cured by transtympanic surgery, and complication and recurrence rates increased according to the extent of disease. Early detection of CC is important to facilitate minimally invasive surgery and to reduce complication and recurrence rates.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Recidiva
/
Procedimentos Cirúrgicos Operatórios
/
Timpanoplastia
/
Colesteatoma
/
Incidência
/
Estudos Retrospectivos
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Achados Incidentais
/
Diagnóstico
Tipo de estudo:
Estudo diagnóstico
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Criança
/
Humanos
Idioma:
Inglês
Revista:
Journal of Audiology & Otology
Ano de publicação:
2016
Tipo de documento:
Artigo
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