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November 1989

Reoccurring Cholesteatomas in Children, Adolescents, and Adults

Author Affiliations

Galveston, Tex

Arch Otolaryngol Head Neck Surg. 1989;115(11):1281. doi:10.1001/archotol.1989.01860350015007

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At the recent spring meeting of the American Neurotology Society in San Francisco, Calif, Arnold G. Schuring and coworkers, Warren (Ohio) Otological Group Inc, reported on a study of the otologic management of cholesteatoma in 354 patients over a 10-year period, with an average follow-up of 7 years. Cases were divided into three age groups: child, adolescent, and adult. A closed tympanomastoidectomy was performed in consecutive patients, provided there were three quarters of a posterior canal wall present and a portion of the stapes was mobile. Staged procedures were performed at 1-year intervals until no further cholesteatoma could be identified. At the primary stage, ossicular reconstruction was performed, using either the ossicle cup or the ossicle columella in all cases. Every patient underwent a second-stage operation. Forty-two percent of children less than 10 years old were found to have cholesteatoma at the second-stage operation, thereby requiring a third-stage procedure. On

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