Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 1997; 8(2):229-235

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1997.8.2.229

원저

소아 외이도진주종의 임상적 특성

박기현¹, 전영명¹, 이원석¹, 구성모¹

External Auditory Canal Cholesteatoma in Children: Clinical Features

Keehvun Park¹, Young-Myoung Chun¹, Won Seok Lee¹, Seongmo Koo¹

¹아주대학교 의과대학 이비인후과 학교실

¹Department of Otolaryngology, Ajoa University, School of Medicine, Suwon, Korea

© Copyright 1997 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

In recent years there has been an increasing number of case reports and an apparent increase in interest in ear canal cholesteatoma, especially in children. The ear canal cholesteatoma can result from surgery, trauma, ear canal stenosis, ear canal obstruction, and also may arise spontaneously. Although the exact cause of ear canal cholesteatoma that has been developed spontaneously is unknown, it is believed that local periostitis of the canal bone, trauma to the canal skin, and epithelial abnormality resulting in increased keratotic activity with secondary bone involvement are the possible theories.

The aim of this study is to describe clinical characteristics of ear canal cholesteatoma in children, and to compare them with those of ear canal cholesteatoma in adults. In this study, we reviewed 6 cases of child ear canal cholesteatoma and ]0 cases of adult ear canal cholesteatoma by analysing findings of myringoscopy, operation and temporal bone computed tomography. 5 out of 6 child canal cholesteatomas(83.3%) were idiopathic, while 7 of 10 adult canal cholesteatomas(70.0%) were idiopathic. 4 out of 5 idiopathic canal cholesteatomas in children(80.0%) were stage 3, while 2 of 7 idiopatliic canal cholesteatomas in adults(28.8%) were stage 3.

This review supports that the lesion in child ear canal cholesteatoma is more extensive than that in adult ear canal cholesteatoma.

Keywords: External auditory canal; Cholesteatoma