Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experience

Detalhes bibliográficos
Autor(a) principal: Durão, Carolina
Data de Publicação: 2014
Outros Autores: Costa, Eurico, Trindade Soares, Mafalda, Decq Mota, Sofia, Guimarães, Ana, Leandro, João Pedro, Gabão Veiga, Vítor
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.34631/sporl.459
Resumo: 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.  
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spelling Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experienceColesteatoma em idade pediátrica: Análise retrospectiva de 12 anos de experiência do Hospital Fernando Fonsecapediatric cholesteatomamastoidectomycholesteatoma treatmentcolesteatoma pediátricomastoidectomiatratamento do colesteatomaObjective: 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.  Objectivo: revisão de casos de colesteatoma em idade pediátrica do HFF durante um período de 12 anos.Desenho do estudo: retrospectivo.Material e métodos: análise de 30 casos de cirurgia para colesteatoma em doentes dos 0 - 18 anos de Janeiro de 2000 a Dezembro de 2011.Resultados: o colesteatoma inicial foi extenso na maioria dos casos. Realizou-se mastoidectomia com técnica aberta (66,7%), mastoidectomia com técnica fechada (26,7%), aticomia transmeática (3,3%) e remoção de colesteatoma da membrana timpânica (3,3%). O GAP pós-operatório médio foi de 22,5 dB, com GAP 0-10dB em 16,7%, GAP 11-20dB em 10%, GAP 21-30 dB em 30%, mais de 30dB em 16,7% e desconhecido em 26,7%. A taxa de recorrência de colesteatoma foi de 23,3%Conclusões: Na nossa amostra o colesteatoma foi extenso e agressivo. Realizámos mastoidectomia com técnica aberta na maioria dos casos. Para obter bons resultados a abordagem deverá ser individualizada, atendendo a factores clínicos, anatómicos e capacidade de adesão à terapêutica.  Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2014-06-18info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.459https://doi.org/10.34631/sporl.459Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 52 No. 2 (2014): Junho; 77-82Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 52 Núm. 2 (2014): Junho; 77-82Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 52 N.º 2 (2014): Junho; 77-822184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2694https://journalsporl.com/index.php/sporl/article/view/2694/698Durão, CarolinaCosta, EuricoTrindade Soares, MafaldaDecq Mota, SofiaGuimarães, AnaLeandro, João PedroGabão Veiga, Vítorinfo:eu-repo/semantics/openAccess2024-06-06T12:59:49Zoai:journalsporl.com:article/2694Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T12:59:49Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experience
Colesteatoma em idade pediátrica: Análise retrospectiva de 12 anos de experiência do Hospital Fernando Fonseca
title Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experience
spellingShingle Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experience
Durão, Carolina
pediatric cholesteatoma
mastoidectomy
cholesteatoma treatment
colesteatoma pediátrico
mastoidectomia
tratamento do colesteatoma
title_short Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experience
title_full Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experience
title_fullStr Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experience
title_full_unstemmed Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experience
title_sort Pediatric cholesteatoma: 12-year retrospective analysis of Hospital Prof. Doutor Fernando Fonseca´s experience
author Durão, Carolina
author_facet Durão, Carolina
Costa, Eurico
Trindade Soares, Mafalda
Decq Mota, Sofia
Guimarães, Ana
Leandro, João Pedro
Gabão Veiga, Vítor
author_role author
author2 Costa, Eurico
Trindade Soares, Mafalda
Decq Mota, Sofia
Guimarães, Ana
Leandro, João Pedro
Gabão Veiga, Vítor
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Durão, Carolina
Costa, Eurico
Trindade Soares, Mafalda
Decq Mota, Sofia
Guimarães, Ana
Leandro, João Pedro
Gabão Veiga, Vítor
dc.subject.por.fl_str_mv pediatric cholesteatoma
mastoidectomy
cholesteatoma treatment
colesteatoma pediátrico
mastoidectomia
tratamento do colesteatoma
topic pediatric cholesteatoma
mastoidectomy
cholesteatoma treatment
colesteatoma pediátrico
mastoidectomia
tratamento do colesteatoma
description 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.  
publishDate 2014
dc.date.none.fl_str_mv 2014-06-18
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.459
https://doi.org/10.34631/sporl.459
url https://doi.org/10.34631/sporl.459
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2694
https://journalsporl.com/index.php/sporl/article/view/2694/698
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 52 No. 2 (2014): Junho; 77-82
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 52 Núm. 2 (2014): Junho; 77-82
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 52 N.º 2 (2014): Junho; 77-82
2184-6499
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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