Published online August 31, 2007
PEDIATRICS Vol. 120 No. 3 September 2007, pp. 603-608 (doi:10.1542/10.1542/peds.2007-0120)
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STATE-OF-THE-ART REVIEW ARTICLE

Diagnosis of Pediatric Cholesteatoma

Glenn Isaacson, MD, FAAP, FACS

Departments of Otolaryngology, Head and Neck Surgery, and Pediatrics, Temple University School of Medicine, Philadelphia, Pennsylvania

ABSTRACT

Cholesteatomas are abnormal collections of squamous epithelium and keratin debris that usually involve the middle ear and mastoid. Although histologically benign, they have the ability to expand and destroy bone. Cholesteatomas are treated surgically. The success of such surgery is highly dependent on the extent of the lesion. This article presents information and images to aid the general pediatrician in the early recognition of cholesteatomas, both congenital and acquired, in hopes of improving the outcome for children with this treatable disorder.


Key Words: cholesteatoma • chronic otitis media • ear surgery • hearing loss • otorrhea • otoscopy


Accepted Apr 23, 2007.


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