| Childhood cholesteatoma. | |
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MedLine Citation:
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PMID: 20860924 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Although cholesteatoma was first described in 1683, its etiopathogeny remains unexplained. In children, there are two forms: acquired cholesteatoma, resembling the adult form, and congenital cholesteatoma. The acquired form has become less frequent in recent years, thanks to progress in the treatment of childhood otitic pathology. Diagnosis of congenital cholesteatoma, on the contrary, is increasing, due to improvements in information to health care professionals and in diagnostic tools. Clinical and histological evidence points to greater aggressiveness in childhood forms, although this difference cannot, at present, be precisely explained. Diagnosis is clinical, but CT and MR imaging is indispensable for preoperative assessment and postoperative follow-up. New delayed gadolinium-enhanced T1-weighted and diffusion-weighted MRI sequences have recently been developed and provide more precise radiological diagnosis. Treatment is surgical; alternatives, notably by laser, have proved unsuccessful. Complications concern involvement of neighbouring structures, and are mainly infectious; some can be life-threatening, and should be systematically screened. |
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Authors:
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J Nevoux; M Lenoir; G Roger; F Denoyelle; H Ducou Le Pointe; E-N Garabédian |
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Publication Detail:
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Type: Journal Article Date: 2010-08-11 |
Journal Detail:
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Title: European annals of otorhinolaryngology, head and neck diseases Volume: 127 ISSN: 1879-7296 ISO Abbreviation: Eur Ann Otorhinolaryngol Head Neck Dis Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101531465 Medline TA: Eur Ann Otorhinolaryngol Head Neck Dis Country: France |
Other Details:
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Languages: eng Pagination: 143-50 Citation Subset: IM |
Copyright Information:
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Copyright © 2010. Published by Elsevier Masson SAS. |
Affiliation:
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Inserm U, hôpital d'enfants Armand-Trousseau, AP-HP, UMPC, université Paris, France. jerome.nevoux@trs.aphp.fr |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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