Martínez SM, Cantú CNJ, Cossio MYK, Celis AEM

Language: Spanish
References: 17
Page: 36-49
PDF size: 296.93 Kb.

ABSTRACT

Background: Cholesteatoma in the pediatric population is considered an entity with an aggressive nature, it is related to greater extension, number of associated complications and recurrence. Currently there is an increase in closed approaches for its management; however, the need for a safe ear sometimes requires the use of more extensive surgeries.
Clinical case: This paper describes 4 cases of 4, 10, 14 and 18 years old who attended a medical consultation at the Hospital Civil de Culiacan, Sinaloa, México, diagnosed with chronic otitis media with cholesteatoma. All presented long-standing otorrhea. Other manifestations were otorrhagia, history of ipsilateral facial paralysis and meningitis. Radical mastoidectomy was performed in all four cases; as a first therapeutic measure in two of them and as a reoperation in the other two cases. In postoperative follow-up, all required long-term antibiotic treatment.
Conclusions: Radical mastoidectomy is an option in pediatric patients with cholesteatoma. Treatment should be individualized, with a variety of procedures described, each with its advantages and disadvantages to be considered in each case.

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