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Tympanomastoid cholesterol Granulomas presenting as a Blue Eardrum in children

OBJECTIVE(S): This clinical study was performed to analyze the characteristics of cholesterol granuloma (CG) and evaluate our results in children. METHODS: The clinical records of children diagnosed with CG were retrospectively reviewed. RESULTS: The total of 17 children (20 ears) with CGs were incl...

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Autor principal: Lou, Zhengcai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10265891/
https://www.ncbi.nlm.nih.gov/pubmed/37312115
http://dx.doi.org/10.1186/s12893-023-02069-5
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author Lou, Zhengcai
author_facet Lou, Zhengcai
author_sort Lou, Zhengcai
collection PubMed
description OBJECTIVE(S): This clinical study was performed to analyze the characteristics of cholesterol granuloma (CG) and evaluate our results in children. METHODS: The clinical records of children diagnosed with CG were retrospectively reviewed. RESULTS: The total of 17 children (20 ears) with CGs were included in this study. Endoscopy revealed pars flaccida retractions and lipoid tissue deposition behind the intact blue tympanic membrane (TM). CT scan revealed bony erosion and extensive soft tissue in the middle ear and mastoid. No ossicular chain destruction was found. All 20 ears underwent canal wall-up mastoidectomy and ventilation tube (VT) insertion, 3 sets of VT were performed in 5 ear and 2 sets in one. The residual perforation was seen in 2 ears following VT. The CT revealed well-pneumatized antra and tympanic cavities at postoperative 12–24 months. CONCLUSION(S): The CG should be suspected for the patients with yellow lipoid deposition behind the blue TM. CT of CG usually revealed bony erosion and extensive soft tissue in the middle ear and mastoid. Mastoidectomy combined with VT insertion and etiological treatment have a favorable prognosis for CG in children.
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spelling pubmed-102658912023-06-15 Tympanomastoid cholesterol Granulomas presenting as a Blue Eardrum in children Lou, Zhengcai BMC Surg Research OBJECTIVE(S): This clinical study was performed to analyze the characteristics of cholesterol granuloma (CG) and evaluate our results in children. METHODS: The clinical records of children diagnosed with CG were retrospectively reviewed. RESULTS: The total of 17 children (20 ears) with CGs were included in this study. Endoscopy revealed pars flaccida retractions and lipoid tissue deposition behind the intact blue tympanic membrane (TM). CT scan revealed bony erosion and extensive soft tissue in the middle ear and mastoid. No ossicular chain destruction was found. All 20 ears underwent canal wall-up mastoidectomy and ventilation tube (VT) insertion, 3 sets of VT were performed in 5 ear and 2 sets in one. The residual perforation was seen in 2 ears following VT. The CT revealed well-pneumatized antra and tympanic cavities at postoperative 12–24 months. CONCLUSION(S): The CG should be suspected for the patients with yellow lipoid deposition behind the blue TM. CT of CG usually revealed bony erosion and extensive soft tissue in the middle ear and mastoid. Mastoidectomy combined with VT insertion and etiological treatment have a favorable prognosis for CG in children. BioMed Central 2023-06-13 /pmc/articles/PMC10265891/ /pubmed/37312115 http://dx.doi.org/10.1186/s12893-023-02069-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Lou, Zhengcai
Tympanomastoid cholesterol Granulomas presenting as a Blue Eardrum in children
title Tympanomastoid cholesterol Granulomas presenting as a Blue Eardrum in children
title_full Tympanomastoid cholesterol Granulomas presenting as a Blue Eardrum in children
title_fullStr Tympanomastoid cholesterol Granulomas presenting as a Blue Eardrum in children
title_full_unstemmed Tympanomastoid cholesterol Granulomas presenting as a Blue Eardrum in children
title_short Tympanomastoid cholesterol Granulomas presenting as a Blue Eardrum in children
title_sort tympanomastoid cholesterol granulomas presenting as a blue eardrum in children
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10265891/
https://www.ncbi.nlm.nih.gov/pubmed/37312115
http://dx.doi.org/10.1186/s12893-023-02069-5
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