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Mastoid surgery in childhood.

R P Crellin1, J A Wilson, D L Cowan

  • 1Department of Otolaryngology, Royal Infirmary Edinburgh, UK.

Clinical Otolaryngology and Allied Sciences
|February 1, 1991
PubMed
Summary

Pediatric mastoid surgery for chronic otomastoiditis, often with cholesteatoma, shows mixed results. Further research into chronic middle ear disease is needed for better therapeutic outcomes in children.

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • Mastoid surgery is frequently performed in children, primarily for chronic otomastoiditis.
  • Cholesteatoma is a common co-morbidity in pediatric cases requiring mastoid surgery.

Purpose of the Study:

  • To review the clinical presentation and surgical findings in pediatric patients undergoing mastoid surgery.
  • To evaluate the outcomes of mastoid surgery in children, including post-operative complications and hearing thresholds.

Main Methods:

  • Retrospective review of 105 patients aged 16 years or less who underwent mastoid surgery.
  • Analysis of presenting features, operative findings, and post-operative outcomes.

Main Results:

  • 94% of surgeries were for chronic otomastoiditis, with 64% associated with cholesteatoma.
  • Persistent post-operative otorrhoea occurred in 44% of patients.
  • Contralateral ear disease necessitating surgery was observed in 20% of cases.
  • The majority of patients experienced improved or unchanged hearing thresholds post-surgery, particularly after cortical or modified radical mastoidectomy.

Conclusions:

  • Mastoid surgery in children, while often improving hearing, presents challenges with persistent otorrhoea and contralateral disease.
  • Enhanced understanding of the etiology of chronic middle ear disease is crucial for improving surgical outcomes in pediatric populations.

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