Cholesteatoma Behind an Intact Tympanic Membrane – Retrospective Study
Authors:
A. Kaliariková; M. Urík; J. Macháč; L. Florianová; J. Jančíková; H. Černá
Authors‘ workplace:
Klinika dětské otorinolaryngologie, Lékařská fakulta, Masarykova univerzita, Brno)
Published in:
Otorinolaryngol Foniatr, 68, 2019, No. 1, pp. 11-17.
Category:
Original Article
Overview
Objective: The processing of the group of children operated on for a cholesteatoma behind an intact tympanic membrane. The determination of the incidence of congenital cholesteatoma in the examined group.
Methodology: This retrospective study evaluates 21 child patients from the Clinic of Pediatric Otorhinolaryngology LF MU and FN Brno (KDORL), who were operated in the period 2007 - 2017 on for cholesteatoma behind an intact tympanic membrane.
Results: During a period 2007 – 2017, 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 cases of it there was the congenital cholesteatoma. From the year 2013 there is an increasing trend of the detection of cholesteatoma behind an intact tympanic membrane. The most common sign of this disease was the conversion deafness and taking into account the range of cholesteatoma (stadium III according to Potsic), the atticoantrotomy was the most frequent used surgical technique for a treatment. There were 17 patients indicated for a second operation (second look), which was positive in 4 cases (23,5%).
Conclusion: The early diagnostics and the treatment of cholesteatoma behind an intact tympanic membrane in children increase the chance of complete removal of cholesteatoma, decrease the risk of recidivism as well and improve the prospects for a good hearing. The microotoscopy is the most important examination for the early detection of cholesteatoma. At an advanced stage there could be the hearing impairment and because of this reason every inexplicable unilateral hearing impairment should be always explore.
Keywords:
body mass index – cholesteatoma behind an intact tympanic membrane – congenital cholesteatoma
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Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
2019 Issue 1
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