Experience with cholesteatoma behind an intact tympanic membrane in children
Authors | |
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Year of publication | 2020 |
Type | Article in Periodical |
Magazine / Source | AMERICAN JOURNAL OF OTOLARYNGOLOGY |
MU Faculty or unit | |
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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