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<p>To analyze the clinical characteristics and surgical outcomes of congenital middle ear cholesteatoma (CMEC) in children. A retrospective review of 48 children (51 ears) under 14 was conducted from January 2010 to July 2024, analyzing symptoms, imaging, staging, and surgery. The male-to-female ratio was 3:1. Unilateral cases predominated (93.7%). Hearing loss was the main symptom (88.2%). The posterior-inferior quadrant was a potential origin. After follow-up (mean 60.1 months), the average postoperative air conduction threshold was 32.3dB HL, with one recurrence. Potsic stages III-IV were most common in pediatric CMEC patients. For Potsic III patients with Grade II ossicular chain damage, atticotomy was preferred, whereas those with Grade III damage underwent open mastoidectomy or tympanotomy.Potsic IV patients, predominantly with Grade III ossicular damage, were primarily treated with open mastoidectomy.</p>

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Ossicular Chain Status Guides Surgical Selection in Pediatric Congenital Cholesteatoma: Outcomes from 48 Cases

  • 期刊论文

  • 发表日期：

    2026年1月19日

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  • Xiaolu Yang

摘要

To analyze the clinical characteristics and surgical outcomes of congenital middle ear cholesteatoma (CMEC) in children. A retrospective review of 48 children (51 ears) under 14 was conducted from January 2010 to July 2024, analyzing symptoms, imaging, staging, and surgery. The male-to-female ratio was 3:1. Unilateral cases predominated (93.7%). Hearing loss was the main symptom (88.2%). The posterior-inferior quadrant was a potential origin. After follow-up (mean 60.1 months), the average postoperative air conduction threshold was 32.3dB HL, with one recurrence. Potsic stages III-IV were most common in pediatric CMEC patients. For Potsic III patients with Grade II ossicular chain damage, atticotomy was preferred, whereas those with Grade III damage underwent open mastoidectomy or tympanotomy.Potsic IV patients, predominantly with Grade III ossicular damage, were primarily treated with open mastoidectomy.