Endoscopic management of pediatric cholesteatoma

Peter J. Ryan, Nirmal P. Patel*

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    7 Citations (Scopus)
    18 Downloads (Pure)


    Pediatric cholesteatoma occurs in one of two forms: congenital cholesteatoma, developing from embryonic epidermal cell rests or acquired cholesteatoma, associated with a focal defect in the tympanic membrane. This disease has been traditionally managed with the operating microscope, often requiring mastoidectomy for adequate visualization of and access to the middle ear and mastoid cavities. Recently, advances in endoscopic equipment have enabled otologists to manage most cases of pediatric cholesteatoma via a minimally-invasive, transcanal endoscopic approach. This review discusses the current literature relating to the etiopathogenesis, assessment and endoscopic management of pediatric cholesteatoma. Early outcomes of endoscopic treatment, emerging trends and technologies are also reviewed.

    Original languageEnglish
    Pages (from-to)17-26
    Number of pages10
    JournalJournal of Otology
    Issue number1
    Publication statusPublished - Mar 2020

    Bibliographical note

    Copyright PLA General Hospital Department of Otolaryngology Head and Neck Surgery 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


    • Cholesteatoma
    • Endoscopic
    • Mastoid
    • Middle ear
    • Minimally-invasive
    • Pediatric


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