COMPARISON OF TWO TECHNIQUES OF SURGERY FOR THE TREATMENT OF PEDIATRIC CHOLESTEATOMA

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SAIIAH MELLI M.R.; ABEDINI A.

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Journal: MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES Year:2002 | Volume:- | Issue:53 Page(s): 25-30

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Title

COMPARISON OF TWO TECHNIQUES OF SURGERY FOR THE TREATMENT OF PEDIATRIC CHOLESTEATOMA

Author(s)

SAIIAH MELLI M.R. | ABEDINI A. | Issue Writer Certificate

Keywords

CHILDREN CHOLESTEATOMAQ4

MASTOIDECTOMYQ3

Abstract

Background and Objectives: Cholesteatoma is considered a more aggressive disease in children than in adults. The outcomes of intact canal wall (ICW) MASTOIDECTOMY and canal wall down (CWD) MASTOIDECTOMY were assessed to compare different surgical techniques. This study reviewed cholesteatoma in pediatric patients to determine which factors influence the outcome of surgical treatment.Materials and Methods: Fifty eight patients aged 2-15 years who had ear cholesteatoma and were retrospectively operated at Children Hospital over a period of 10 years (from 1987 till 1997), were taken into the study. Patients information was collected from their case files.Results: A total of fifty eight patients were treated and followed for an average of 37.7 months (range: 12.2 month till 12.5 years). Seventeen patients underwent canal wall down MASTOIDECTOMY with tympanoplasty. Initially two patients (12%) had residual cholesteatoma found at planned second stage procedure, however no recurrent cholesteatoma was encountered. Seventy two percent maintained a speech reception threshold of less than 30 db hearing loss (HL). Intact canal wall MASTOIDECTOMY with tympanoplasty was the primary surgical treatment in 41 patients and at a planned second stage surgery nineteen percent had residual disease, while 22% developed recurrent cholesteatoma. A speech reception threshold of less than 30 db HL was achieved in 75% of these patients. Conclusions: These results support the continued use of ICW MASTOIDECTOMY with tympanoplasty for pediatric cholesteatoma. If planned second stage surgery is necessary, the long- term results of an ear with useful hearing and few problems with chronic medical care are gratifying. For reasons of anatomy and hearing, canal wall down (CWD) MASTOIDECTOMY with tympanoplasty provides a safe ear and good hearing results.

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APA: Copy

SAIIAH MELLI, M.R., ABEDINI, A.,. (2002). COMPARISON OF TWO TECHNIQUES OF SURGERY FOR THE TREATMENT OF PEDIATRIC CHOLESTEATOMA. MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES, -(53), 25-30. SID. https://sid.ir/paper/47617/en

Vancouver: Copy

SAIIAH MELLI M.R., ABEDINI A.. COMPARISON OF TWO TECHNIQUES OF SURGERY FOR THE TREATMENT OF PEDIATRIC CHOLESTEATOMA. MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2002;-(53):25-30. Available from: https://sid.ir/paper/47617/en

IEEE: Copy

M.R. SAIIAH MELLI, A. ABEDINI, an, “COMPARISON OF TWO TECHNIQUES OF SURGERY FOR THE TREATMENT OF PEDIATRIC CHOLESTEATOMA,” MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES, vol. -, no. 53, pp. 25–30, 2002, [Online]. Available: https://sid.ir/paper/47617/en

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