Cholesteatomatous chronic otitis media in children. Results of surgical treatment

Andrzej Makowski

Summary
Retrospective evaluation was made of the results of surgical treatment of cholesteatomatous otitis media in 51 children (F – 15, M – 36) aged from 4 to 18 years, hospitalized over the years 1976-2000 in the Department of Otolaryngology of the Institute of the „Polish Mother” Health Centre in Łódź. The extent of the cholesteatomatous process, and progression of the process of destruction of the auditory ossicles revealed in 50% of the operated ears, were estimated. Comparison was made of the cholesteatoma recurrence rates depending on the mastoidectomy technique used. With CWD procedures cholesteatoma recurrence occurred in 32.1%, and with ICW procedures in 36.3% of the operated ears. Emphasis is laid on the fact that the rate of cholesteatoma recurrence after ICW operations makes it necessary to perform a surgical revision procedure and to keep the child on a long-lasting postoperative follow-up.

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