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Updated: Oct 5, 2025
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Determinants influencing cholesteatoma recurrence in daily practice: a retrospective analysis
C Adriaansens1, S Bekkers1, M C J Aarts2
1Department of ENT, Radboud University Medical Center, Nijmegen, The Netherlands.
Background:
Cholesteatoma is a benign but destructive epithelial lesion in the middle ear and/or mastoid. It is hard to translate data from previous research to daily clinical practice. In this study, factors influencing recurrence rates in daily clinical practice were identified.
Method:
The study included 67 patients who were treated for a cholesteatoma with combined approach tympanoplasty. The average follow-up time was 35 months.
Results:
The recurrence rate was 23.3 per cent in adults and 45.5 per cent in children. Predictors of recurrence were younger age and a low tegmen. A cholesteatoma in a child and the simultaneous presence of a low tegmen led to recurrence in 82.8 per cent of the patients.
Conclusion:
Patients - especially children - with a low tegmen have an increased risk of recurrence. It is recommended that ENT surgeons be aware of recurrence in children, particularly in the case of a low tegmen.
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