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Acquired middle ear cholesteatoma in children with cleft palate: experience from 18 surgical cases.

Authors
  • Vincenti, Vincenzo1
  • Marra, Francesca2
  • Bertoldi, Barbara2
  • Tonni, Daniela2
  • Saccardi, Maria Silvia2
  • Bacciu, Salvatore2
  • Pasanisi, Enrico2
  • 1 Department of Clinical and Experimental Medicine, Unit of Audiology and Pediatric Otorhinolaryngology, University of Parma, Italy. Electronic address: [email protected] , (Italy)
  • 2 Department of Clinical and Experimental Medicine, Unit of Audiology and Pediatric Otorhinolaryngology, University of Parma, Italy. , (Italy)
Type
Published Article
Journal
International journal of pediatric otorhinolaryngology
Publication Date
Jun 01, 2014
Volume
78
Issue
6
Pages
918–922
Identifiers
DOI: 10.1016/j.ijporl.2014.03.007
PMID: 24690221
Source
Medline
Keywords
License
Unknown

Abstract

Our results indicate that most cleft palate children with cholesteatoma can be managed with a canal wall up mastoidectomy with low complication rates. In extensive disease with large erosion of the canal wall as well in presence of a retraction pocket in the contralateral ear, a canal wall down mastoidectomy should be considered. In epitympanic cholesteatomas with an intact tympano-ossicular system and mesotympanum free of disease, the modified Bondy procedure is an effective surgical option. As in the general pediatric population, improvement or preservation of hearing can be obtained in most patients.

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