Santos-Mejía BL, Pineda-Cásarez F

Language: Spanish
References: 15
Page: 77-82
PDF size: 411.10 Kb.

ABSTRACT

Introduction: Cholesteatoma is a benign disease of the mild ear with a behavioral that could destroy the surrounding bones. This is the first report in our hospital in a 9 year-period.
Objetive: To show the clinical characteristics, the surgery treatment done and the complication post-surgical of our patients.
Material and Method: We reviewed the cases saw between the years 2005 to 2014. The age, sex, type of cholesteatoma (congenital or adquired), side (left, right or both) of ear, the surgery (simple mastoidectomy, radical mastoidectomy or laberintectomy), and the surgery complication were registered. The complication were analyzed according to the surgical procedure.
Results: 383 cases were reviewed, 33 (8.6%) were less than 19 yearolds, 271 (70.9%) between 19 to 50 year-olds, and 79 (20.6%) older than 51 year-olds. An 1.15:1 male/female ratio. 96.3% (369) were acquired cholesteatoma. 54.6% (209) were in left ear, and only four bilateral (3.1%). 74.4% (369) were treated with simple mastoidectomy, 24.3% (93) with radical, and 5 (1.3%) with laberintectomy. In the first only 16.4% had at least one complication, less proportion than the second (63.4%) and the last (100%) procedures (P‹0.001). The main complications were the hypoacusia and dizziness. There was only one patient treated with radical mastoidectomy who had a laberintic fistula.
Conclusions: In this study predominated the non-severe and acquired cholesteatoma, which can be treated with simple mastoidectomy, without severe complications. The complicated cases were associated with older patients and for some required radical mastoidectomy or laberintectomy.

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