Experience with cholesteatoma behind an intact tympanic membrane in children

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Authors

URÍK Milan KALIARIKOVÁ Andrea MACHAČ Josef JURAJDA Michal

Year of publication 2020
Type Article in Periodical
Magazine / Source AMERICAN JOURNAL OF OTOLARYNGOLOGY
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.sciencedirect.com/science/article/pii/S0196070919309743?via%3Dihub
Doi http://dx.doi.org/10.1016/j.amjoto.2019.102379
Keywords Cholesteatoma; Intact tympanic membrane; Children
Description Introduction: To systematically investigate all surgeries for cholesteatoma behind an intact tympanic membrane at our department. To identify predictive factors that can help the surgeon to plan surgery, surgical techniques, and follow-up treatment. Material and methods: This retrospective study evaluates 21 child patients, who were operated in the period 2007-2017 on for cholesteatoma behind an intact tympanic membrane. Results: A total of 202 primary operations were performed for cholesteatoma. In 21 cases (10,4%) there was a cholesteatoma behind an intact tympanic membrane and in 11 (5,45%) cases of it there was the congenital cholesteatoma. The most frequently affected area was the anterior-superior quadrant. The preoperative hearing loss increased significantly with disease severity (I-IV by Potsic). Conclusions: The classification system according to Potsic is sufficient and fully corresponds to the surgeon's needs. It has been clearly shown that a higher CC stage is associated with worse postoperative hearing results.
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