Colesteatoma em idade pediátrica: Análise retrospectiva de 12 anos de experiência do Hospital Fernando Fonseca

Objective: To review cases of cholesteatoma in pediatric age HFF during a period of 12 years. Study design: Retrospective review. Material and methods: Analysis of 30 cases of children undergoing surgical intervention for cholesteatoma from January 2000 to December 2011. Results: At presentation, cholesteatoma was extensive in most cases. These children were managed with open technique mastoidectomy (66.7%), closed technique mastoidectomy (26.7%), transmeatal atticotomy (3.3%) and cholesteatoma removal from tympanic membrane (3.3%). The mean postoperative air-bone GAP was 22.5 dB. Postoperative air-bone GAP distributed as follows: 16,7% of children had 0-10dB GAP, 10% of chlidren had a 11-20dB GAP, 30% of children had a GAP 21-30 dB in 30%, and 16.7% had a more than 30 dB GAP. The auditory results were unknown in 26.7% of cases. The recurrence rate of cholesteatoma was 23.3% Conclusions: In our study, cholesteatoma was extensive and aggressive. Most children were managed with open technique. For good results the approach should be individualized, taking into account clinical, anatomical and social factors.