Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 1 de 1
Filtrar
Mais filtros











Base de dados
Intervalo de ano de publicação
1.
Arch Otolaryngol Head Neck Surg ; 118(4): 384-91, 1992 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-1554467

RESUMO

The aggressive nature of childhood cholesteatoma has generated much controversy regarding the optimal management of this challenging disorder. To identify potential predictors of residual-recurrent disease, we studied 232 children (244 ears) treated with 427 surgical procedures between 1973 and 1990. Cause of the primary cholesteatoma was congenital in 43 patients (18%), acquired in 83 (36%), and unknown in 106 (46%). Of 90 patients with residual-recurrent disease, 21 (23%) instances were detected during a second-look surgical exploration. The 3- and 5-year residual-recurrence rates were 48% and 57%, respectively. Development of residual-recurrent disease was associated with ossicular erosion (Cox regression) but not with status of the canal wall (up vs down) during tympanomastoidectomy. This study suggests a need for intense and prolonged postoperative follow-up of children with cholesteatoma, especially those with ossicular erosion.


Assuntos
Colesteatoma/patologia , Colesteatoma/cirurgia , Otopatias/patologia , Otopatias/cirurgia , Orelha Média , Recidiva Local de Neoplasia , Adolescente , Fatores Etários , Criança , Pré-Escolar , Colesteatoma/mortalidade , Otopatias/mortalidade , Ossículos da Orelha/patologia , Orelha Média/cirurgia , Feminino , Seguimentos , Previsões , Humanos , Lactente , Masculino , Processo Mastoide/cirurgia , Reoperação , Análise de Sobrevida
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA