Endoscopic Management of Pediatric Cholesteatoma

被引:14
作者
Ryan, Peter J. [1 ]
Patel, Nirmal P. [1 ,2 ,3 ]
机构
[1] Royal North Shore Hosp, Dept Otolaryngol & Head & Neck Surg, St Leonards, NSW, Australia
[2] Macquarie Univ, Kolling Deafness Res Ctr, Sydney, NSW, Australia
[3] Univ Sydney, Sydney, NSW, Australia
关键词
Cholesteatoma; Pediatric; Endoscopic; Minimally-invasive; Middle ear; Mastoid; MIDDLE-EAR; CONGENITAL CHOLESTEATOMA; LONG-TERM; CHILDREN; SURGERY; LASER; ANESTHESIA; EXPERIENCE; ANATOMY; CT;
D O I
10.1016/j.joto.2018.11.009
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Pediatric cholesteatoma occurs in one of two forms: congenital cholesteatoma, developing from embryonic epidermal cell rests or acquired cholesteatoma, associated with a focal defect in the tympanic membrane. This disease has been traditionally managed with the operating microscope, often requiring mastoidectomy for adequate visualization of and access to the middle ear and mastoid cavities. Recently, advances in endoscopic equipment have enabled otologists to manage most cases of pediatric cholesteatoma via a minimally-invasive, transcanal endoscopic approach. This review discusses the current literature relating to the etiopathogenesis, assessment and endoscopic management of pediatric cholesteatoma. Early outcomes of endoscopic treatment, emerging trends and technologies are also reviewed. (c) 2018 PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd.
引用
收藏
页码:17 / 26
页数:10
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