Endoscopic Management of Pediatric Cholesteatoma  

作　　者：Peter J.Ryan Nirmal P.Patel 

机构地区：[1]Department of Otolaryngology and Head and Neck Surgery,Royal North Shore Hospital,St Leonards,NSW,Australia [2]Kolling Deafness Research Centre,Macquarie University and University of Sydney,NSW,Australia

出　　处：《Journal of Otology》2020年第1期17-26,共10页中华耳科学杂志（英文版）

摘　　要：Pediatric cholesteatoma occurs in one of two forms:congenital cholesteatoma,developing from embryonic epidermal cell rests or acquired cholesteatoma,associated with a focal defect in the tympanic membrane.This disease has been traditionally managed with the operating microscope,often requiring mastoidectomy for adequate visualization of and access to the middle ear and mastoid cavities.Recently,advances in endoscopic equipment have enabled otologists to manage most cases of pediatric cholesteatoma via a minimally-invasive,transcanal endoscopic approach.This review discusses the current literature relating to the etiopathogenesis,assessment and endoscopic management of pediatric cholesteatoma.Early outcomes of endoscopic treatment,emerging trends and technologies are also reviewed.Pediatric cholesteatoma occurs in one of two forms: congenital cholesteatoma, developing from embryonic epidermal cell rests or acquired cholesteatoma, associated with a focal defect in the tympanic membrane. This disease has been traditionally managed with the operating microscope, often requiring mastoidectomy for adequate visualization of and access to the middle ear and mastoid cavities. Recently,advances in endoscopic equipment have enabled otologists to manage most cases of pediatric cholesteatoma via a minimally-invasive, transcanal endoscopic approach. This review discusses the current literature relating to the etiopathogenesis, assessment and endoscopic management of pediatric cholesteatoma. Early outcomes of endoscopic treatment, emerging trends and technologies are also reviewed.

关 键 词：CHOLESTEATOMA PEDIATRIC ENDOSCOPIC MINIMALLY-INVASIVE Middle ear MASTOID 

分 类 号：R764[医药卫生—耳鼻咽喉科]