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A retrospective review of 125 cholesteatomas in children operated on during a 15-year span was reported by Simon Parisier, MD, New York, at the Denver meeting of the American Otological Society. The intent of this study was to address issues that have produced conflicting reports in the literature. The issues studied included: Was cholesteatoma in children more aggressive than in adults? What was the most appropriate surgical technique? Do children have higher failure rates?
The results suggest that the disease in children was more aggressive from the standpoint of ossicular destruction, but there were fewer major complications such as semicircular canal fistula, facial nerve paralysis, or intracranial complications. The choice of surgical procedure was based on an estimate of eustachian tube function. Those patients exhibiting adequate eustachian tube function based on observation of the middle ear mucosa, mastoid pneumatization, and condition of the tympanic membrane underwent a canal-up procedure,
GANTZ BJ. Cholesteatoma in the Pediatric Age Group. Arch Otolaryngol Head Neck Surg. 1987;113(9):921. doi:10.1001/archotol.1987.01860090019011
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