Current Otorhinolaryngology Reports

, Volume 6, Issue 1, pp 82–91 | Cite as

Cholesteatoma in Children: Surgical Technique, Hearing Rehabilitation and Surveillance

  • Adrian L. James
Pediatric Otolaryngology (I Bruce, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Pediatric Otolaryngology


Purpose of Review

Children will live with the consequences of cholesteatoma for several decades so treatment should aim to minimise morbidity by leaving the ear as normal and stable as possible. This narrative review of recent publications aims to inform the reader of current strategies to optimise such care.

Recent Findings

The impact of in vogue approaches such as totally endoscopic ear surgery and mastoid obliteration on the child and prognosis are compared. Limitations in understanding of the requirement and opportunities for rehabilitation of hearing loss from paediatric cholesteatoma are emphasised. The role of magnetic resonance imaging in screening for residual cholesteatoma is discussed.


As a guiding principle, small cholesteatomas have a better prognosis than big cholesteatomas but challenges remain when trying to select the best strategy for care of the child with cholesteatoma.


Cholesteatoma Endoscopic ear surgery Mastoid obliteration Hearing rehabilitation MRI surveillance 


Compliance with Ethical Standards

Conflict of interest

The author declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. 1.Department of Otolaryngology – Head & Neck SurgeryUniversity of TorontoTorontoCanada
  2. 2.Department of Otolaryngology – Head & Neck SurgeryHospital for Sick ChildrenTorontoCanada

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