TY - JOUR
T1 - Long-term outcome of atticotomy for cholesteatoma in children
AU - DeRowe, Ari
AU - Stein, Gidon
AU - Fishman, Gadi
AU - Berco, Eli
AU - Avraham, Shabtai
AU - Landsberg, Roee
AU - Sadé, Jacob
PY - 2005/5
Y1 - 2005/5
N2 - Objective: To evaluate the long-term outcome of atticotomy (AT) surgery for cholesteatoma in children. Study Design: Case series, retrospective chart review. Setting: General otology practice in a teaching hospital. Patients: Fifty-three children aged 5 to 16 years old with cholesteatoma limited to the attic and middle ear who underwent AT between the years 1979 to 1994. Interventions: AT consisting of removal of cholesteatoma confined mainly to the attic. The procedure consists of removal of the lateral attic wall (scutum) and involved ossicles with excision of the cholesteatoma and tympanic membrane grafting with temporalis fascia, leaving a small attical cavity. The mastoid antrum was left intact. Main Outcome Measures: Disease recurrence, middle ear status, hearing results, and the need for further surgery. Results: Mean follow up was 5.1 (±3.6) years. Eleven (21%) children required completion canal wall down tympanomastoidectomy because of residual disease or recurrence. The mean preoperative speech recognition threshold was 39.4 ± 13.4 dB. The mean postoperative speech recognition threshold was 34.5 ± 15.4, an improvement of 6.1 dB compared with the preoperative level. Last follow-up examination revealed a dry ear in all cases but one. Conclusions: In selected cases, AT can be a less invasive option in children with cholesteatoma limited to the attic and middle ear.
AB - Objective: To evaluate the long-term outcome of atticotomy (AT) surgery for cholesteatoma in children. Study Design: Case series, retrospective chart review. Setting: General otology practice in a teaching hospital. Patients: Fifty-three children aged 5 to 16 years old with cholesteatoma limited to the attic and middle ear who underwent AT between the years 1979 to 1994. Interventions: AT consisting of removal of cholesteatoma confined mainly to the attic. The procedure consists of removal of the lateral attic wall (scutum) and involved ossicles with excision of the cholesteatoma and tympanic membrane grafting with temporalis fascia, leaving a small attical cavity. The mastoid antrum was left intact. Main Outcome Measures: Disease recurrence, middle ear status, hearing results, and the need for further surgery. Results: Mean follow up was 5.1 (±3.6) years. Eleven (21%) children required completion canal wall down tympanomastoidectomy because of residual disease or recurrence. The mean preoperative speech recognition threshold was 39.4 ± 13.4 dB. The mean postoperative speech recognition threshold was 34.5 ± 15.4, an improvement of 6.1 dB compared with the preoperative level. Last follow-up examination revealed a dry ear in all cases but one. Conclusions: In selected cases, AT can be a less invasive option in children with cholesteatoma limited to the attic and middle ear.
KW - Atticotomy
KW - Children
KW - Cholesteatoma
KW - Middle ear
KW - Tympanomastoidectomy
UR - http://www.scopus.com/inward/record.url?scp=18644365115&partnerID=8YFLogxK
U2 - 10.1097/01.mao.0000169789.45577.8a
DO - 10.1097/01.mao.0000169789.45577.8a
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C2 - 15891651
AN - SCOPUS:18644365115
SN - 1531-7129
VL - 26
SP - 472
EP - 475
JO - Otology and Neurotology
JF - Otology and Neurotology
IS - 3
ER -