International Journal of Education and Research in Health Sciences
(Official Publication of Sai Amrut Educational and Medical Research Foundation, Aurangabad)
 
Vol.1, Issue 4 (2018)


Reducing the Recidivism Rate in Pediatric Cholesteatoma

Shruti Bansal, Arpit Sharma, JP Dabholkar



Abstract

OBJECTIVE: Prospective analysis to study the recidivism rate in 30 pediatric patients with cholesteatoma who underwent canal wall down mastoidectomy. METHODS: Thirty patients with cholesteatoma belonging to pediatric (under the age of 12 years) age group were included in the study. The study period was the duration of 1 year (August 2013 to September 2014). These patients underwent canal wall down mastoidectomies and were followed up postoperatively for 6 months. The rate of recidivism and measures to lower recidivism were analyzed. RESULTS: Three out of thirty patients had discharging cavity on postoperative follow-up. In 2 of these patients’ cavity became dry with medical management. One patient showed epithelial pearl which was surgically removed. Rest all the patients had dry mastoid cavities at the time the study was completed. Thus, the recidivism rate in our study was 3.33%. CONCLUSION: Considering the aggressiveness of pediatric cholesteatoma preoperative high resolution computed tomography is must as it gives a fair idea of the disease extent and helps in diagnosing complications due to cholesteatoma. Canal wall down (CWD) mastoidectomy with wide meatoplasty is the surgery of choice for pediatric patients with cholesteatoma to ensure complete disease


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International Journal of Education and Research in Health Sciences






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