Facial nerve dehiscence and cholesteatoma: Pediatrics vs adults
| Autor: | Antonio Greco, Giampiero Gulotta, Giuseppe Magliulo, Annalisa Pace, Marco Artico, Valeria Rossetti, Francesco Antonio Salzano, Giannicola Iannella, Pierluigi Mastino, Claudio Vicini, Irene Claudia Visconti |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Adolescent Ear Middle Disease Dehiscence 03 medical and health sciences Facial canal dehiscence Cholesteatoma Adults Pediatrics Microscopy Semicircular canal fistula 0302 clinical medicine 030225 pediatrics medicine adults cholesteatoma facial canal dehiscence microscopy pediatrics semicircular canal fistula Humans 030223 otorhinolaryngology Child Retrospective Studies Cholesteatoma Middle Ear business.industry Incidence (epidemiology) Cholesteatoma General Medicine medicine.disease Facial nerve Facial Nerve Otitis Media Facial canal medicine.anatomical_structure Otorhinolaryngology Concomitant Pediatrics Perinatology and Child Health Semicircular canal fistula Facial Nerve Diseases business |
| Zdroj: | International journal of pediatric otorhinolaryngology. 138 |
| ISSN: | 1872-8464 |
| Popis: | Objectives the aim of this paper is to study the incidence of facial canal dehiscence (FCD) in pediatric and non-pediatric patients, analyzing eventual differences in frequency, localization, primary or revision surgery and duration of the disease. Methods 527 patients suffering from chronic otitis media with acquired cholesteatoma, divided into two groups, those aged 18 years or over (470 patients), and those aged below 18 years (57 patients). Results Total incidence of FCD in adult population was 25,7% (121/470) and 7% (4/57) in pediatric one. Globally higher values were found in revision surgery, 43,5% (40/92) in adults and 16,7% (1/7) in children. Diseases longer than 5 years have been correlated to higher incidence of FCD in adults, 29,9% (109/364), than in pediatrics, 7,3% (3/41). No statistical significant difference has been found in those with a disease shorter than 5 years: 11,3% in adults (12/106) and 6,2% in children (1/16). The majority of patients, both adults and pediatrics, had a dehiscence in the tympanic tract of facial nerve. No statistical correlation regarding concomitant semicircular canal fistula and FCD has been found due to the absence of data in children. Conclusions Incidence of FCD is higher in adult population than in pediatric. Adults have a higher incidence in primary surgery than children. No statistical significant difference has been found in adults and pediatrics with a less than 5 years disease, while diseases longer than 5 years expose adults to higher risk of FCD. Middle tract of tympanic segment is the most involved site of dehiscence in both populations. |
| Databáze: | OpenAIRE |
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