DOI: 10.36347/sjams.2020.v08i02.043

Pages: 605-607

Introduction: Pediatric cholesteatoma is known to be more aggressive than in adults due to its rapid growth and the frequency of recurrences. Surgical treatment in children and adolescent has been a challenge to many surgeons. The effects of deafness can have social, educational and behavioral consequences, thereby necessitating the need for hearing preservation. Materials and methods: This is a retrospective study of 74 patients who underwent surgery for cholesteatoma in the ENT and CCF departments of the specialty hospital in Rabat, over a period of eight years between 2011 and 2018. Results: In eight years, 74 patients were treated for cholesteatoma, with a sex ratio of 1.46. The average age ranged from 6 to 16 years. 12 patients showed signs of complications. otoscopic examination revealed retraction pocket in 36 patients, perforation of the tympanic membrane in 29 patients and aural polyp in 9 patients. Pure tone audiometry showed a moderate conductive hearing loss ranging from 40 to 65 decibels in 41 patients. 58 patients (78,37%) underwent canal wall up mastoidectomy. Canal wall down mastoidectomy were performed in 16 patients (21,62%). In the follow-up period, there were 31 patients with recurrences (41.89%). The mean air conduction improved significantly from 46,73 dB to 38,53 Db. Discussion and Conclusion: Eradication of cholesteatoma and restoration of hearing function present unique surgical challenges. An individualised approach is needed, and the choice of surgical technique should be based on anatomical, biological, radiological and social factors.