Journal article
International Pediatric Otolaryngology Group (IPOG) Consensus Recommendations: Congenital Cholesteatoma
Otology & neurotology, Vol.41(3), pp.345-351
03/2020
DOI: 10.1097/MAO.0000000000002521
PMID: 31851066
Abstract
To provide recommendations to otolaryngologists and allied physicians for the comprehensive management of children who present with signs and symptoms of congenital cholesteatoma.
A two-iterative Delphi method questionnaire was used to establish expert recommendations by the members of the International Pediatric Otolaryngology Group, on the preoperative work-up, the perioperative considerations, and follow-up.
Twenty-two members completed the survey, in 14 tertiary-care center departments representing 5 countries. The main consensual recommendations were: a precise otoscopic description of the quadrants involved, extensive audiological workup (bilateral tonal, vocal audiometry, and BERA), and a CT scan are required. Facial nerve monitoring and a combination of microscope and telescope are recommended for surgical removal. Clinical and audiological follow-up should be pursued yearly for at least 5 years. First MRI follow-up should be done at 18 months postoperatively if the removal violated the matrix. MRI follow-up duration depends on the initial extent of the cholesteatoma.
The goal of preoperative and follow-up consensus from International Pediatric Otolaryngology Group participants is to help manage infants and children with congenital cholesteatoma. The operative techniques may vary, and experienced surgeons must perform these procedures.
Details
- Title: Subtitle
- International Pediatric Otolaryngology Group (IPOG) Consensus Recommendations: Congenital Cholesteatoma
- Creators
- Françoise Denoyelle - Université Paris CitéFrançois Simon - Université Paris CitéKay W Chang - Stanford UniversityKenny H Chan - University of Colorado DenverAlan G Cheng - Stanford UniversityAlan T Cheng - University of SydneyDaniel I Choo - Cincinnati Children's Hospital Medical CenterSam J Daniel - McGill University Health CentreAnne Farinetti - Boston Children's HospitalErea-Noël Garabedian - Université Paris CitéJohn H Greinwald - Cincinnati Children's Hospital Medical CenterStephen R Hoff - Lurie Children's HospitalStephen Hone - Royal Victoria Eye and Ear HospitalGreg R Licameli - Boston Children's HospitalBlake C Papsin - University of TorontoDennis S Poe - Boston Children's HospitalSeth Pransky - Pediatric Specialty Partners, San Diego, California, USA.Richard J H Smith - University of IowaJean-Michel Triglia - Boston Children's HospitalJoanna Walton - Boston Children's HospitalGeorge Zalzal - Children's NationalNicolas Leboulanger - Université Paris Cité
- Resource Type
- Journal article
- Publication Details
- Otology & neurotology, Vol.41(3), pp.345-351
- DOI
- 10.1097/MAO.0000000000002521
- PMID
- 31851066
- ISSN
- 1531-7129
- eISSN
- 1537-4505
- Language
- English
- Date published
- 03/2020
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Molecular Physiology and Biophysics; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Otolaryngology; Internal Medicine
- Record Identifier
- 9984256932302771
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