Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-23T03:59:55.141Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparative study of cholesteatoma in paediatric and adult patients

Published online by Cambridge University Press:  13 May 2022

M Kalia ,
A Dass Open the ORCID record for A Dass [Opens in a new window] ,
S K Singhal  and
N Gupta
M Kalia
Affiliation:
Department of ENT, Gian Sagar Medical College and Hospital, Patiala, Punjab, India Department of ENT, Government Medical College and Hospital, Chandigarh, India
A Dass*
Affiliation:
Department of ENT, Government Medical College and Hospital, Chandigarh, India Department of ENT, Max Super Speciality Hospital, Mohali, Punjab, India
S K Singhal
Affiliation:
Department of ENT, Government Medical College and Hospital, Chandigarh, India
N Gupta
Affiliation:
Department of ENT, Government Medical College and Hospital, Chandigarh, India
*
Author for correspondence: Dr Arjun Dass, Department of ENT, Max Super Speciality Hospital, Mohali, Punjab160055, India E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

The aggressiveness of paediatric cholesteatoma has long been a matter of debate. While much of the evidence is substantiated by data from the Western world, it is further limited by the retrospective nature of most studies. Therefore, this paper presents a comparative analysis of various characteristics of cholesteatoma between paediatric and adult populations seen at our centre.

Methods

A total of 50 patients (25 adults and 25 paediatric) with clinical diagnosis of chronic suppurative otitis media with cholesteatoma underwent canal wall down mastoidectomy over a period of two years. The intra-operative findings were noted and patients were followed up for six months.

Results

There was more extensive spread and ossicular erosion in paediatric cases. However, complications such as facial canal dehiscence and lateral semicircular canal dehiscence were more common in adults.

Conclusion

Paediatric cholesteatoma is more aggressive and invasive than adult cholesteatoma, and the clinical behaviour is consistent with findings from other parts of the world.

Keywords

Otitis MediaCholesteatomaMastoidectomy
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 8 , August 2022 , pp. 765 - 768
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr A Dass takes responsibility for the integrity of the content of the paper

References

Bluestone, CD. Epidemiology and pathogenesis of chronic suppurative otitis media: implications for prevention and treatment. Int J Pediatr Otorhinolaryngol 1998;42:207–2310.1016/S0165-5876(97)00147-XCrossRefGoogle ScholarPubMed
Bassiouny, M, Badour, N, Omran, A, Osama, H. Histopathological and immunohistochemical characteristics of acquired cholesteatoma in children and adults. Egyptian J Ear Nose Throat Allied Sci 2012;13:7–1210.1016/j.ejenta.2012.02.007CrossRefGoogle Scholar
Dornelles, Cde C, da Costa, SS, Meurer, L, Rosito, LPS, da Silva, AR, Alves, SL. Comparison of acquired cholesteatoma between pediatric and adult patients. Eur Arch Otorhinolaryngol 2009;266:1553–6110.1007/s00405-009-0957-0CrossRefGoogle Scholar
Albera, R, Canale, A, Piumetto, E, Lacilla, M, Dagna, F. Ossicular chain lesions in cholesteatoma. Acta Otorhinolaryngol Ital 2012;32:309–13Google ScholarPubMed
Shirazi, MA, Muzaffar, K, Leonetti, JP, Marzo, S. Surgical treatment of pediatric cholesteatomas. Laryngoscope 2006;116:1603–710.1097/01.mlg.0000233248.03276.9bCrossRefGoogle ScholarPubMed
Farrior, JB. Surgical approaches to cholesteatoma. Otolaryngol Clin North Am 1989;22:1015–2810.1016/S0030-6665(20)31374-8CrossRefGoogle ScholarPubMed
Aquino, JE, Cruz Filho, NA, de Aquino, JN. Epidemiology of middle ear and mastoid cholesteatomas: study of 1146 cases. Braz J Otorhinolaryngol 2011;77:341–710.1590/S1808-86942011000300012CrossRefGoogle ScholarPubMed
De Corso, E, Marchese, MR, Scarano, E, Paludetti, G. Aural acquired cholesteatoma in children: surgical findings, recurrence and functional results. Int J Pediatr Otorhinolaryngol 2006;70:1269–7310.1016/j.ijporl.2006.01.006CrossRefGoogle ScholarPubMed
Diom, ES, Cisse, Z, Tall, A, Ndiaye, M, Pegbessou, E, Ndiaye, IC et al. Management of acquired cholesteatoma in children: a 15 year review in ENT service at CHNU de FANN Dakar. Int J Pediatr Otorhinolaryngol 2013;77:1998–200310.1016/j.ijporl.2013.09.021CrossRefGoogle ScholarPubMed
Kuo, CL, Shiao, AS, Yung, M, Sakagami, M, Sudhoff, H, Wang, CH et al. Updates and knowledge gaps in cholesteatoma research. Biomed Res Int 2015;2015:1–17Google ScholarPubMed
Palva, A, Karma, P, Karja, J. Cholesteatoma in children. Arch Otolaryngol 1977;103:74–710.1001/archotol.1977.00780190054003CrossRefGoogle ScholarPubMed
Chang, P, Kim, S. Cholesteatoma – diagnosing the unsafe ear. Aust Fam Physician 2008;37:631–8Google ScholarPubMed
Rosito, LP, Netto, LS, Teixeira, AR, da Costa, SS. Hearing impairment in children and adults with acquired middle ear cholesteatoma: audiometric comparison of 385 ears. Otol Neurotol 2015;36:1297–30010.1097/MAO.0000000000000815CrossRefGoogle ScholarPubMed
Canter, RJ. Acute suppurative otitis media. In: Kerr, AG, Booth, JB, eds. Scott-Brown's Otolaryngology, 6th edn., Volume 3. Oxford: Butterworth-Heinemann, 1997;1–15Google Scholar
Shrestha, S, Kafle, P. Intraoperative findings during canal wall down mastoidectomy in children. J Nepal Paediatr Soc 2011;31:184–710.3126/jnps.v31i3.5357CrossRefGoogle Scholar
Edfeldt, L, Kinnefors, A, Stromback, K, Kobler, S, Andersen, HR. Surgical treatment of paediatric cholesteatoma: long-term follow up in comparison with adults. Int J Pediatr Otorhinolaryngol 2012;76:1091–710.1016/j.ijporl.2012.04.006CrossRefGoogle ScholarPubMed
Moody, MW, Lambert, PR. Incidence of dehiscence of the facial nerve in 416 cases of cholesteatoma. Otol Neurotol 2007;28:400–410.1097/01.mao.0000247824.90774.22CrossRefGoogle ScholarPubMed
Shinnabe, A, Yamamoto, H, Hara, M, Hasegawa, S, Matsuzawa, S, Kanazawa, H et al. Fallopian canal dehiscence at pediatric cholesteatoma surgery. Eur Arch Otorhinolaryngol 2014;271:2927–3010.1007/s00405-013-2789-1CrossRefGoogle ScholarPubMed
Lynrah, ZA, Bakshi, J, Panda, N, Khandelwal, NK. Aggressiveness of pediatric cholesteatoma. Do we have an evidence? Indian J Otolaryngol Head Neck Surg 2013;65:264–810.1007/s12070-012-0548-zCrossRefGoogle ScholarPubMed
Dornelles, C, da Costa, SS, Meurer, L, Schweiger, C. Some considerations about acquired adult and pediatric cholesteatomas. Braz J Otorhinolaryngol 2005;71:536–4510.1016/S1808-8694(15)31212-XCrossRefGoogle ScholarPubMed
Mohammadi, G, Naderpour, M, Mousaviagdas, M. Ossicular erosion in patients requiring surgery for cholesteatoma. Iran J Otorhinolaryngol 2012;24:125–8Google ScholarPubMed
East, CA, Brough, MD, Grant, HR. Mastoid obliteration with the temporoparietal fascia flap. J Laryngol Otol 1991;105:417–2010.1017/S0022215100116184CrossRefGoogle ScholarPubMed