SciELO - Scientific Electronic Library Online

vol.79 número4Enfermedad hemolítica del recién nacido por incompatibilidad ABO índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO


Revista Cubana de Pediatría

versión impresa ISSN 0034-7531versión On-line ISSN 1561-3119


QUINTERO NOA, Julianis Loraine et al. Clinical and surgical management of cholesteatomatous chronic otitis media in children. Rev Cubana Pediatr [online]. 2007, vol.79, n.4. ISSN 0034-7531.

The treatment of in children is controversial and difficult. We proposed ourselves to characterize pediatric patients with extensive cholesteatomas and active infection, as well as to identify otoscopic and surgical findings, complications, microbiology, efficiency of the antimicrobial treatment and functional auditive affections. A descriptive and prospective study was conducted among 12 patients aged 4-15 that were operated on by open technique combined with tympanoplasty and ossiculoplasty from 2001 to 2004. The evolution of the patients was followed during 3 years after surgery. The most common findings were posterior marginal epytimpanic perforation (41.6 %), total ossicular injury (50 %), tympanic facial dehiscence and erosion of the horizontal semicircular canal (45.4 %). The intratemporal complications were the most frequent (50 %). Timpano-ossicular reconstruction was performed in 8 patients, and the hearing results were satisfactory in 66.6 %, whereas the response to the antimicrobial agent used was efficient in 100 % of the cases. The use of the open surgical technique together with a correct antibiotic strategy is what is indicated in children with extensive cholesteatomas and active infection.

Palabras clave : Chronic otitis media; cholesteatoma; active infection; surgical technique; microbiology; antibiotic therapy.

        · resumen en Español     · texto en Español     · Español ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons