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Trans-canal endoscopic ear surgery and canal wall-up tympano-mastoidectomy for pediatric middle ear cholesteatoma

European Archives of Oto-Rhino-Laryngology Aug 07, 2019

Glikson E, et al. - In this retrospective chart review, researchers assessed clinical parameters, outcomes and complications of transcanal endoscopic ear surgeries (EES) and canal wall-up tympano-mastoidectomy (CWU) for middle ear cholesteatoma in children and compared between the two surgical approaches. The study sample consisted of all children (< 16 years) who had surgery for cholesteatoma involving the middle ear only with a minimal follow-up period of 12 months. Thirty EES and 19 CWU were involved in this analysis. The most common site of residual disease was the mastoid cavity/antrum in the EES and CWU groups. Data reported that the overall complication rates in the EES and CWU groups were 10% and 11%, respectively. Endoscopic ear surgeries in children have been found to be an acceptable and safe technique limited to the middle ear cavity for the treatment of cholesteatoma. In comparison to CWU, there was a better overall success rate and a similar complication rate in the EES group.
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