{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T13:28:34Z","timestamp":1771075714240,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2009,1,2]],"date-time":"2009-01-02T00:00:00Z","timestamp":1230854400000},"content-version":"vor","delay-in-days":642,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objectives<\/jats:bold>: To define predictors of residuals and retraction pockets (RP) in children operated on for congenital cholesteatoma (CC).<\/jats:p><jats:p><jats:bold>Design and Setting<\/jats:bold>: Retrospective review (1996\u20132005), academic center.<\/jats:p><jats:p><jats:bold>Patients<\/jats:bold>: One hundred seventeen patients treated for CC corresponding to modified Derlacki's criteria were included (median age, 6.5 yr). No case of RP at time of diagnosis, with a mean follow\u2010up of 2.5 years after last surgery.<\/jats:p><jats:p><jats:bold>Main Outcome Measures<\/jats:bold>: Clinical and surgical data influencing outcome. Multivariate analysis.<\/jats:p><jats:p><jats:bold>Results<\/jats:bold>: Two groups were defined after CC removal: group I (12 cases), no second look required and no case of subsequent re\u2010intervention; group II (105 cases), planned second look always performed (mean delay, 12.1 mo), no difference of sex ratio (M\/F = 2). Group I patients were younger than in group II (3.3 vs. 5.9 yr, <jats:italic>P<\/jats:italic> &lt; .001). All of them had a normal contralateral eardrum and a disclosure of CC by routine examination (vs. 19% in group II, <jats:italic>P<\/jats:italic> &lt; .001). In group I, the mass occupied one or two anterior quadrants (41.6% and 58.4%, respectively) versus more than two quadrants in 46.6% in group II. Residuals and RP rates were 41% and 15%, respectively (only in group II). Predictors for residuals were atticotomy (odds ratio [OR] 2.9, 95% confidence interval [CI] 1.3\u20136.7) and destruction of stapes (OR 4.3, 95% CI 1.7\u201310.5). Predictors for RP were eustachian tube extension (OR 6.8, 95% CI 1.7\u201326.8) and nonreconstructed atticotomy (OR 5.9, 95% CI 1.1\u201330.9).<\/jats:p><jats:p><jats:bold>Conclusions<\/jats:bold>: Young children with small CC had no recurrences. Residuals were more frequent in case of atticotomy and stapes destruction. RP occurred especially in cases of eustachian tube extension and if cartilage tympanoplasty was not performed. Tympanic and canal wall reinforcement should be considered in extensive CC.<\/jats:p>","DOI":"10.1097\/mlg.0b013e318030ac8c","type":"journal-article","created":{"date-parts":[[2007,3,30]],"date-time":"2007-03-30T09:10:10Z","timestamp":1175245810000},"page":"634-637","source":"Crossref","is-referenced-by-count":53,"title":["Congenital Cholesteatoma: Risk Factors for Residual Disease and Retraction Pockets\u2014A Report on 117 Cases"],"prefix":"10.1002","volume":"117","author":[{"given":"Diane S.","family":"Lazard","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilles","family":"Roger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7oise","family":"Denoyelle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Chauvin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erea\u2010Noel","family":"Garab\u00e9dian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,1,2]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.123446"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348946507400313"},{"key":"e_1_2_5_4_2","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1177\/019459988609400605","article-title":"A review of twenty congenital cholesteatomas of the middle ear in children.","volume":"94","author":"Levenson MJ","year":"1986","journal-title":"Otolaryngol Head Neck Surg"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.7.810"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.7.804"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200311000-00002"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-438X(05)82335-7"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199503000-00008"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(02)00373-7"},{"key":"e_1_2_5_11_2","first-page":"362","article-title":"Recidivism in congenital cholesteatoma surgery.","volume":"70","author":"Parisier SC","year":"1991","journal-title":"Ear Nose Throat J"},{"key":"e_1_2_5_12_2","first-page":"288","article-title":"Congenital cholesteatomas of the middle ear: a different experience.","volume":"17","author":"Karmarkar S","year":"1996","journal-title":"Am J Otol"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(98)00126-8"},{"key":"e_1_2_5_14_2","first-page":"550","article-title":"Predictive risk factors of residual cholesteatoma in children: a study of 256 cases.","volume":"18","author":"Roger G","year":"1997","journal-title":"Am J Otol"},{"key":"e_1_2_5_15_2","first-page":"420","article-title":"Mechanisms of cholesteatoma formation following stapedectomy.","volume":"7","author":"Ferguson BJ","year":"1986","journal-title":"Am J Otol"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199901000-00010"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1097%2Fmlg.0b013e318030ac8c","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1097\/mlg.0b013e318030ac8c","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T13:10:49Z","timestamp":1700053849000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1097\/mlg.0b013e318030ac8c"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,4]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2007,4]]}},"alternative-id":["10.1097\/mlg.0b013e318030ac8c"],"URL":"https:\/\/doi.org\/10.1097\/mlg.0b013e318030ac8c","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,4]]}}}