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Comparison of congenital and acquired cholesteatomas in pediatric patients

Year 2018, Volume: 28 Issue: 2, 59 - 65, 15.06.2018

Abstract

Objectives: This study aims to present clinical data and surgical results of patients with congenital cholesteatoma CC and acquired cholesteatoma AC . Patients and Methods: Pediatric cholesteatoma patients who underwent tympanomastoid surgery between January 2008 and June 2015 were evaluated retrospectively. Demographic data, clinical symptoms, surgical and post-surgical findings were recorded. Mastoid development was evaluated with preoperative temporal bone computed tomography. Areas with cholesteatoma were mapped intraoperatively and cholesteatoma was staged. Intraoperative stapes superstructure deformation was assessed. Postoperative hearing results were compared according to air bone gap ABG values. Statistical analysis was made by MannWhitney U and Kruskal Wallis test. Results: We analyzed 60 patients 9 CC and 51 AC under 16 years of age and followed at least six months. In the CC and AC groups, mean age was 6.1 and 10.4 years, and mean follow-up was 28 and 32 months, respectively. While CC group patients were generally asymptomatic, AC group patients were diagnosed with complaints of otorrhea, otalgia and hearing loss. Mastoid development was better in CC group patients p<0.001 . Intraoperatively, the AC mostly covered two or more regions while CC was mostly in one region. There was more deformity of stapes superstructure in AC group patients p=0.019 . Recurrence rates were similar for CC and AC groups and for different types of surgeries p=0.128 . Functional postoperative hearing ABG ≤10dB was 44.4% in the CC group and 25.4% in the AC group. Conclusion: The AC is more common than the CC, mastoid development is worse and ossicles are affected more. There are no significant differences in recurrence rates of applied surgeries. However, postoperative hearing results are better in patients who external ear canal preservation, which has an advantage of not causing more mastoidectomy cavity problems. With the main condition of completely removing pathology, these techniques can easily be preferred in cholesteatoma surgery.

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There are 18 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Emine Demir This is me

Görkem Atsal This is me

Filiz Gülüstan This is me

Abdullah Dalgıç This is me

Levent Olgun This is me

Publication Date June 15, 2018
Published in Issue Year 2018 Volume: 28 Issue: 2

Cite

APA Demir, E., Atsal, G., Gülüstan, F., Dalgıç, A., et al. (2018). Comparison of congenital and acquired cholesteatomas in pediatric patients. The Turkish Journal of Ear Nose and Throat, 28(2), 59-65.
AMA Demir E, Atsal G, Gülüstan F, Dalgıç A, Olgun L. Comparison of congenital and acquired cholesteatomas in pediatric patients. Tr-ENT. June 2018;28(2):59-65.
Chicago Demir, Emine, Görkem Atsal, Filiz Gülüstan, Abdullah Dalgıç, and Levent Olgun. “Comparison of Congenital and Acquired Cholesteatomas in Pediatric Patients”. The Turkish Journal of Ear Nose and Throat 28, no. 2 (June 2018): 59-65.
EndNote Demir E, Atsal G, Gülüstan F, Dalgıç A, Olgun L (June 1, 2018) Comparison of congenital and acquired cholesteatomas in pediatric patients. The Turkish Journal of Ear Nose and Throat 28 2 59–65.
IEEE E. Demir, G. Atsal, F. Gülüstan, A. Dalgıç, and L. Olgun, “Comparison of congenital and acquired cholesteatomas in pediatric patients”, Tr-ENT, vol. 28, no. 2, pp. 59–65, 2018.
ISNAD Demir, Emine et al. “Comparison of Congenital and Acquired Cholesteatomas in Pediatric Patients”. The Turkish Journal of Ear Nose and Throat 28/2 (June 2018), 59-65.
JAMA Demir E, Atsal G, Gülüstan F, Dalgıç A, Olgun L. Comparison of congenital and acquired cholesteatomas in pediatric patients. Tr-ENT. 2018;28:59–65.
MLA Demir, Emine et al. “Comparison of Congenital and Acquired Cholesteatomas in Pediatric Patients”. The Turkish Journal of Ear Nose and Throat, vol. 28, no. 2, 2018, pp. 59-65.
Vancouver Demir E, Atsal G, Gülüstan F, Dalgıç A, Olgun L. Comparison of congenital and acquired cholesteatomas in pediatric patients. Tr-ENT. 2018;28(2):59-65.