Anatomical and surgical particularities of cholesteatomas in children |
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Authors: | B Raffin G Lacher F Devars C Benassayag P Boudard L Traissac |
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Affiliation: | Clinique Universitaire d'ORL, Bordeaux, France. |
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Abstract: | In children, cholesteatoma is closely related to dysfunction of the eustachian tube and evolves inside a malleable temporal bone. The importance of auditory and speech functions in such patients has caused us to use a very particular clinical philosophy. At the present time we have studied 154 cases of cholesteatomas in children under 15 years old. The following three points have been shown: the pathogenesis of a cholesteatoma can be of the primary type, secondary (due to an unfavorable extension of retraction pocket or to squamous cell migration) or even be iatrogenic; anatomical and clinical findings (with X-ray studies) predicate the treatment used; surgical treatment frequently requires a "second-look" operation. |
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