Seven cases of adhesive cholesteatoma in children

Abstract

  Of 31 children with cholesteatoma treated between 1996 and 2007, 7 cases of adhesive cholesteatoma (pars tensa type cholesteatoma) were operated on at Konan Hospital. The average age was 7.4 years, ranging from 6 to 12 years, with 6 boys and 1 girl. Atelectasis of the other ear was revealed in 4 cases, and a tube was inserted in 3 cases. A 6-year-old boy who had severe atelectasis of both ears needed tympanoplasty for the right and subsequent tube insertion 3 times. The left ear needed tube insertion 10 times.
  We believe sniffing and poor mastoid pneumatization are risk factors of recurrence, so careful follow-up is necessary even with placement of tympanostomy tubes.