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• W4224992771 abstract "Abstract Objective: We analyzed the clinical characteristics and surgical outcomes of pediatric patients with congenital cholesteatoma of the middle ear according to age. Study Design: From August 1993 to January 2016, we retrospectively reviewed the records of 186 children (136 boys and 50 girls) less than 15 years of age with pathologically confirmed cholesteatoma. We divided the patients into three age groups (~3 years, 3~7 years, 7~15 years) and analyzed their differences in clinical variables. The audiologic outcomes and recurrence rate were also analyzed. Results: There were no significant differences in sex and side distribution among three age groups. However, there were significant differences in chief complaints, location of cholesteatoma in the middle ear, CT findings, operation methods, ossicular erosion, and type of cholesteatoma sac among three groups. In addition, older age, open type cholesteatoma, ossicular erosion, mastoid invasion of cholesteatoma increased the recurrence rate after surgery. However, despite higher preoperative air-bone gap in older children, hearing can be improved enough after proper surgery with ossicular reconstruction. Conclusion: Delayed detection of pediatric cholesteatoma can lead to extensive disease and the need for an aggressive operation, which can result in worse hearing outcomes and an increased recurrence risk. Physicians should familiarize themselves with the clinical characteristics of pediatric cholesteatoma, especially regarding the age distribution of this condition." @default.
• W4224992771 created "2022-04-28" @default.
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• W4224992771 date "2022-04-26" @default.
• W4224992771 modified "2023-09-29" @default.
• W4224992771 title "Is there a Clinical Difference in Pediatric Congenital Cholesteatoma according to Age?" @default.
• W4224992771 doi "https://doi.org/10.21203/rs.3.rs-1576867/v1" @default.
• W4224992771 hasPublicationYear "2022" @default.
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