2021 Volume 156 Pages 144-148
Recently, an increasing number of cases of congenital cholesteatoma in children have been reported. Surgery is the most frequently selected treatment for acute cases, in which rapid enlargement of the lesion is accelerated by infection and inflammation. However, spontaneous regression of congenital cholesteatomas has also been reported. Herein, we present two cases of spontaneous regression of congenital cholesteatoma and compare the outcomes in these patients to the outcomes reported previously for similar cases. We suggest that a careful observation period of between half year and a year before the decision to perform surgery would be beneficial for children under the age of 4 years classified as having Potsic Stage I or II disease.