THE CROSS-SECTIONAL STUDY OF PAEDIATRIC CHOLESTEATOMA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 23
Abstract
Chronic suppurative otitis media is a very common problem in our country, particularly in rural population. Cholesteatoma is seen in atticoantral type of chronic suppurative otitis media. In children cholesteatoma can be very aggressive leading to complications. Hearing loss secondary to disease in children leads to language disabilities. Early recognition of children with cholesteatoma and appropriate treatment would prevent complications. OBJECTIVES 1. To study the proportion of paediatric cholesteatoma in a tertiary care setting. 2. To study the clinical presentation of paediatric cholesteatoma. SETTING AND DESIGN Cross-sectional study at tertiary referral centre. MATERIALS AND METHODS Children clinically diagnosed with cholesteatoma aged below 12 years were evaluated. A detailed history was taken. Clinical examinations and examination under microscope was done. X-ray mastoid (Schuller’s view) and pure tone audiogram were used to evaluate these patients. RESULTS Total of 50 patients in age group of 6-12 years was enrolled for this study. Proportion of paediatric cholesteatoma was 0.34%; 38 children (76%) were in low socioeconomic group and 12 children (24%) were in middle socioeconomic group. Most common symptoms at presentation were ear discharge, hearing loss and ear ache. Pars tensa cholesteatoma was seen in 57%. Sclerosed mastoid was seen in 82.14% with evidence of cholesteatoma in only 37.5%; 55% showed mild conductive hearing loss. CONCLUSION Triad of otorrhoea, hearing loss and abnormal otoscopic findings should raise the possibility of cholesteatoma. Low and middle socioeconomic group children were exclusively affected. Pars tensa cholesteatoma predominates in children. All paediatric cholesteatoma cases presented before intracranial complication could set in.
Authors and Affiliations
Satish Raju
Keywords
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- EP ID EP123311
- DOI 10.14260/jemds/2016/288
- Views 98
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