The Endoscopic Management of Congenital Cholesteatoma

Rachel McCabe; Daniel J Lee; Manuela Fina

doi:10.1016/j.otc.2020.09.012

The Endoscopic Management of Congenital Cholesteatoma

Otolaryngol Clin North Am. 2021 Feb;54(1):111-123. doi: 10.1016/j.otc.2020.09.012. Epub 2020 Nov 2.

Authors

Rachel McCabe¹, Daniel J Lee², Manuela Fina³

Affiliations

¹ Department of Otolaryngology, University of Minnesota, 420 Delaware Street Southeast, MMC 396, Minneapolis, MN 55455, USA.
² Pediatric Otology and Neurotology, Department of Otology and Laryngology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA.
³ Department of Otolaryngology, University of Minnesota, HealthPartners Medical Group, 401 Phalen Blvd, St Paul, MN 55130, USA. Electronic address: finax003@umn.edu.

PMID: 33153732
DOI: 10.1016/j.otc.2020.09.012

Abstract

Congenital cholesteatoma is a rare, primarily pediatric disease that presents in otherwise healthy ears. Typically, this disease is found in a well-defined sac in the middle ear, making it particularly suited for removal through transcanal endoscopic ear surgery. This article reviews the ways in which endoscopy can be applied to the surgical management of congenital cholesteatoma and provides a guide based on congenital cholesteatoma stage and extent. Outcomes have shown similar rates of residual disease in total endoscopic ear surgery compared with operative microscopy.

Keywords: Cholesteatoma; Congenital cholesteatoma; Endoscopic ear surgery; Pediatric otology; Transcanal.

Publication types

Review

MeSH terms

Child
Cholesteatoma / congenital
Cholesteatoma / surgery
Cholesteatoma, Middle Ear / congenital
Cholesteatoma, Middle Ear / surgery*
Endoscopy / methods*
Humans
Otologic Surgical Procedures / methods*
Treatment Outcome