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Otolaryngol Clin North Am. 2019 Oct;52(5):813-823. doi: 10.1016/j.otc.2019.05.003. Epub 2019 Jul 5.

Updates in Pediatric Cholesteatoma: Minimizing Intervention While Maximizing Outcomes.

Author information

1
Division of Pediatric Otolaryngology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA 15224, USA.
2
Division of Pediatric Otolaryngology, Lucile Packard Children's Hospital at Stanford, Department of Otolaryngology, Stanford University School of Medicine, Palo Alto, CA 94304, USA.
3
Division of Pediatric Otolaryngology, Lucile Packard Children's Hospital at Stanford, Department of Otolaryngology, Stanford University School of Medicine, Palo Alto, CA 94304, USA. Electronic address: kaychang@stanford.edu.

Abstract

Advances in pediatric otology have provided new tools to diagnose and manage complex otologic disease. Diffusion-weighted MRI provides the surgeon with a tool to detect recurrent or residual cholesteatoma that may obviate a second look surgery. Surgical trends move toward less invasive surgery. The literature provides good evidence to advocate for preserving the posterior ear canal and single stage ossiculoplasty. The growing popularity and increasing evidence in the literature supports otoendoscopy as a means to minimize invasiveness while eradicating disease in previously difficult to reach anatomic locations. These advances have allowed the otologic surgeon to improve surgical outcomes while minimizing intervention.

KEYWORDS:

Cholesteatoma; Diffusion weighted MRI; Endoscopy; Eustachian tube dysfunction; Mastoidectomy; Ossiculoplasty; Otitis media with effusion

PMID:
31280890
DOI:
10.1016/j.otc.2019.05.003

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