Title
Tympano-ossicular allografts for cholesteatoma in children Tympano-ossicular allografts for cholesteatoma in children
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Faculty of Arts. Linguistics and Literature
Publication type
article
Publication
Amsterdam ,
Subject
Human medicine
Source (journal)
International journal of pediatric otorhinolaryngology. - Amsterdam
Source (book)
6th International Symposium on Recent Advances in Otitis Media, JUN 04-08, 1995, FT LAUDERDALE, FL
Volume/pages
42(1997) :1 , p. 31-40
ISSN
0165-5876
ISI
A1997YF83000005
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
At the Sint Augustinus Hospital, Antwerp, Belgium, all children with cholesteatoma are operated by a canal wall up approach and immediate reconstruction with a tympano-ossicular allograft. In the majority of the cases, a second stage is performed after 1 year. This paper presents the results of a retrospective review of the charts of 103 consecutive children treated between 1979 and 1995. The mean patient age was 10 years and the mean postoperative follow-up was 4.5 years. In 28 children residual cholesteatoma was found at the second stage operation and 20 developed recurrent cholesteatoma in the course of time. So far no residual cholesteatoma surfaced after the staged procedure, but 11 children needed more than two operations to control recurrent disease. An intact, trouble-free graft was present in 79 children at the latest follow-up. The median postoperative bone-conduction thresholds were equal to the preoperative thresholds. The median postoperative air-conduction thresholds improved in 50% of the cases, remained unchanged in 25%, and deteriorated in 25% of the cases. It is concluded that the tympano-ossicular allograft technique is effective and safe and offers good anatomical and acceptable functional results. (C) 1997 Elsevier Science Ireland Ltd.
E-info
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