Ivan Baljosevic¹*, Aleksandar Sovtic², Mladen Novkovic¹ and Stefan Popovic¹

¹Department of Otorhinolaryngology, Mother and Child Health Institute-Belgrade, Faculty of Dentistry, Pancevo, Serbia
²Department of Pulmology, Mother and Child Health Institute-Belgrade, Medical faculty, Belgrade, Serbia

*Corresponding Author: Ivan Baljosevic, Department of Otorhinolaryngology, Mother and Child Health Institute-Belgrade, Faculty of Dentistry, Pancevo, Serbia.

Received: October 18, 2021; Published: November 30, 2021

Abstract

Objective: Cholesteatoma of middle ear in children has a more aggressive development process and faster growth than that among adults. The aim of this study was to establish the dominant causes of cholesteatoma recurrence in children and to determine the optimal surgical treatment.

Methods: This study describes 92 cases of cholesteatomas found on 89 children. The first group consists of 44 cases of cholesteatomas that were operated with the wall up surgical technique, and the second group consists of 48 cases operated with the wall down surgical technique.

Results: Recurrence cholesteatoma was diagnosed in 18 (19.5%) patients. In cases where the wall up, surgical technique was applied cholesteatoma recurrence was diagnosed in 14 (32%) cases. By contrast, in the wall down surgical technique recurrence was found in only 4 (8%).

Conclusion: Factors that can influence the appearance of recurrence are the: patient’s age, type of applied surgical technique, size of mastoid process, degree of damage on the hearing chain and pathological changes in the second ear.

Keywords: Cholesteatoma; Children; Surgical Procedures; Recurrence

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Citation

Citation: Ivan Baljosevic., et al. “Potential Factors for Recurrence of Cholesteatoma in Children".Acta Scientific Orthopaedics 4.12 (2021): 53-58.

Copyright

Copyright: © 2021 Ivan Baljosevic., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.