• Imaging diagnostic acguired cholesteatoma in children and adolescents with chronic suppurative otitis media 
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Imaging diagnostic acguired cholesteatoma in children and adolescents with chronic suppurative otitis media 

SOVREMENNAYA PEDIATRIYA.2015.7(71):51-55; doi 10.15574/SP.2015.71.51 

Imaging diagnostic acguired cholesteatoma in children and adolescents with chronic suppurative otitis media 

Kokorkіn D. N.

SI Zaporozhye Medical Academy of Postgraduate Education, Ministry of Health 

Actuality. Cholesteatoma in children differs widely destruction of elements of the middle ear with minimal clinical manifestations of otitis media. The absence of clinical disease makes it difficult to timely diagnosis. 

Purpose — the results of radiological methods to identify the main types of signs acquired cholesteatoma in children and adolescents with chronic suppurative otitis media. 

Patients and methods. Operated and observed 100 children 5–15 years with different types of acquired cholesteatoma. Patients are divided into two groups: children with aggressive (n=50) and retraction cholesteatoma (n=50). The differences by sex and age were not significant. We used the plane geometry of the mastoid process and computed tomography of the temporal bone. According to the results of plane geometry into account the structure and size of the mastoid process, the angle Chitelli, the distance from the front wall of the sigmoid sinus to the external auditory meatus (distance L). The CT scan was performed densitometry contents of the middle ear cavity and measure aditus and attic space. Preliminary results obtained were compared with the findings during surgery. Statistical significance of hypotheses were performed using Pearson correlation index pair (r). Use the software Statistica-6. 

Results. Marked signs of aggressive cholesteatoma in children. Aggressive cholesteatoma distinguishes cellular mastoid, presence of cortical defects, destructive changes aditus and anterior attic space. Retraction cholesteatoma, in contrast, is developing in a sclerotic mastoid with fibrous obliteration aditus. Reliable sign of retraction cholesteatoma is the presence of concomitant pathology of the nose, paranasal sinuses and nasopharynx. 

Conclusions. It is important to take into account the results of radiological methods in planning the volume and timing of surgery in children with acquired cholesteatoma. The proposed list of features aggressive and authentic retraction cholesteatoma in 90% of cases. 

Key words: diagnostics, cholesteatoma, children, adolescents. 


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