Section: 
Rewiews
RewiewsCongenital middle ear cholesteatoma in children
M. M. Polunin (1), Yu. L. Soldatskii (1), (2), A. M. Ivanenko (2), S. A. Kul’makov (1), (2)
(1) Pirogov Russian National Research Medical University, Moscow, 117997, Russia
(2) Morozov Children’s Clinical Hospital, Department of Health of Moscow, Moscow, 119049, Russia
UDK: 616.284-002.258-053.1/.2(048.8)
DOI: https://doi.org/10.18692/1810-4800-2018-6-111-118
ABSTRACT
This article provides a brief literature review of the works of national and foreign experts. The authors have considered the theories of etiology and pathogenesis of congenital middle ear cholesteatoma, the specific features of clinical picture, diagnosis and treatment, the brief history of the issue. The article covers several classifications available as of today. The objective of the work is to determine some specific features of diagnostics, surgical treatment and postoperative management of children with different types of congenital middle ear cholesteatoma. The authors present their own experience in examination and treatment of children with this pathology using the example of 12 children hospitalized at the Department of Otorhinolaryngology of Morozov Children’s Municipal Clinical Hospital (for the period of 3 years from 2015 to 2017). The children aged from 3 to 14 years. In 10 cases, the congenital cholesteatoma was encapsulated, located in tympanic cavity. In 1 case the congenital cholesteatoma was extensive; it occupied the tympanic cavity, mastoid bone, and destroyed the ear bones. In 1 case the congenital cholesteatoma developed from encapsulated form to extensive one. All the children underwent surgery. For excision of the extensive congenital cholesteatoma the surgeons used endoscopic assistance to sanitize the middle ear sections that were difficult to examine by microscope. Besides, transcanal endoscopic excision of congenital cholesteatoma with tympanoplasty was performed in 3 cases.
Publication date:
06.12.2018
Keywords:
cholesteatoma, endoscopic visualization, congenital cholesteatoma, endoscopic endomeatal ear surgery. For citation:
Polunin M. M., Soldatskii Yu. L., Ivanenko A. M., Kul’makov S. A. Congenital middle ear cholesteatoma in children. Rossiiskaya otorinolaringologiya. 2018;6:111–118. https://doi.org/10.18692/1810-4800-2018-6-111-118