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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: adkusumdeep@gmail.com
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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

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Footnotes

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

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