Related Experiment Video
Updated: Aug 17, 2026
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
[Studying the effect of surgery for cholesteatoma in children]
Xiuyan Qiao1, Xuejun Jiang, Lian Hui
1Department of Otolaryngology, the First Hospital of China Medical University, Shenyang, 110001, China. qiaoxiuyan@hotmail.com
Objective:
To study the impact of surgical treatment on hearing for cholesteatoma in children.
Method:
The retrospective survey was carried out in 62 children with cholesteatoma treated surgically over a 5-year period. Sixty patients had acquired cholesteatoma and two had congenital cholesteatoma. Forty-eight patients had extensive invasion that required canal wall-down mastoidectomy. Twelve patients with attic cholesteatoma underwent canal wall-up mastoidectomy, and 2 patients with cholesteatoma localized to the middle-ear space were adequately treated with tympanic exploration.
Result:
Hearing was improved in 42 cases, preserved in 13 cases, became worse in 7 cases. A secondary surgical procedure for recidivistic (recurrent or residual) disease was performed in 3 cases. Facial paralysis was noted in 2 patients before surgical operation, and 2 patients had sensorineural hearing loss.
Conclusion:
This study confirmed the aggressiveness of cholesteatoma in children and demonstrated the need for careful preoperative evaluation, meticulous surgical technique, and prudent postoperative follow-up.
