Roger G, Tashjian G, Roelly P, Rahmi H, Lacombe H, Garabedian E N
Service d'ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital d'enfants Armand-Trousseau, Paris.
Ann Otolaryngol Chir Cervicofac. 1994;111(2):103-9.
Cholesteatoma is more destructive in the child than in the adult, but few studies have examined the outcome as a function of age. The authors evaluated retrospectively their experience in 199 cases of cholesteatomas or uncontrollable fixed retraction pouches in children under the age of 15. Mean follow-up was 2 and a half years and the anatomic and functional results are detailed. Reasons for performing first intention or second intention canal wall up or down procedures were analyzed as a function of age. Residual cholesteatomas were particularly frequent in whatever the initial surgical procedure. Cholesteatomas and retraction pouches in the child under 5 (n = 24) were particularly aggressive and destructive, often requiring a canal wall down operation. Residual cholesteatomas were also very frequent and involved both bony and functional element of the petrus. The clinical course of cholesteatoma in the young child appears to be very different, becoming less destructive as the child reaches adulthood.
胆脂瘤在儿童中比在成人中更具破坏性，但很少有研究将结果作为年龄的函数进行考察。作者回顾性评估了他们对15岁以下儿童199例胆脂瘤或无法控制的固定内陷袋的治疗经验。平均随访时间为两年半，并详细介绍了解剖学和功能学结果。将初次手术或二次手术采用鼓室成形术伴或不伴乳突根治术的原因作为年龄的函数进行了分析。无论初始手术方式如何，残留胆脂瘤都特别常见。5岁以下儿童（n = 24）的胆脂瘤和内陷袋特别具有侵袭性和破坏性，常常需要进行乳突根治术。残留胆脂瘤也很常见，累及岩骨的骨质和功能结构。幼儿期胆脂瘤的临床病程似乎非常不同，随着儿童长大成人，其破坏性会降低。
