Elrashidi A M
ENT Department, Alazhar University, Cairo, Egypt.
Eur Arch Otorhinolaryngol. 1992;249(7):389-92. doi: 10.1007/BF00192260.
There is a long-lasting debate concerning cholesteatoma in children. This retrospective epidemiological study includes 81 ears harboring cholesteatoma and treated surgically. All patients were Egyptian and were treated at Alazhar University Hospital, Cairo. Among this group 37 ears belonged to patients younger than 18 years old. To clarify comparison with adult patients, a system of classification based on certain anatomical criteria is proposed. Statistical analysis proved that cholesteatoma in children treated at Alazhar University Hospital differs significantly in two main aspects: it is associated with more pathological changes and is associated with higher morbidity. Additionally, patients younger than 12 years are at high risk for complications. A subgroup of adolescents with cholesteatoma is marginal and has disease representing the characteristics of both adults and younger children.
关于儿童胆脂瘤存在长期的争论。这项回顾性流行病学研究纳入了81例患有胆脂瘤并接受手术治疗的耳。所有患者均为埃及人，在开罗的爱资哈尔大学医院接受治疗。在这组患者中，37耳属于18岁以下的患者。为了明确与成年患者的比较，提出了一种基于某些解剖学标准的分类系统。统计分析证明，在爱资哈尔大学医院接受治疗的儿童胆脂瘤在两个主要方面存在显著差异：它与更多的病理变化相关，且与更高的发病率相关。此外，12岁以下的患者并发症风险较高。胆脂瘤青少年亚组处于边缘状态，其疾病具有成人和年幼儿童的特征。
