Articles Vol. 65 No. CĐ 7 - NCKH 24/07/2024

1. RESULT OF ENDOSCOPIC SURGERY FOR MIDDLE EAR CONGENITAL CHOLESTEATOMA IN CHILDREN AT NGHE AN OBSTETICS AND PEDIATRIC HOSPITAL

Tang Xuan Hai1,2, Tran Minh Long1,2, Dinh Xuan Huong1,2, Phan Quang Trung1,2
1 Nghe An Obstetrics and Pediatrics Hospital
2 Bệnh viện Sản Nhi Nghệ An
Corresponding author: bstangxuanhai@gmail.com
DOI: 10.52163/yhc.v65iCD7.1292
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Keywords
Congenital middle ear cholesteatoma, endoscopic surgery
Abstract

Objectives: Evaluate the results of endoscopic surgery for congenital middle ear cholesteatoma at Nghe An Obstetrics and Children's Hospital.

Research objects and methods: Cross-sectional descriptive study of 28 children diagnosed with congenital middle ear cholesteatoma and underwent endoscopic surgery to remove cholesteatoma at Nghe An Obstetrics and Children's Hospital from January 1, 2022 to July 30, 2023.

Results: After surgery 1 day, 7 days and 14 days, no patient had any symptoms of vomiting or facial paralysis. On the first day after surgery, 67.85% of children showed signs of pain, crying, and had to use painkillers. By the 7th day, only 3 patients (10.71%) had mild pain, did not use painkillers, and after 14 days, no patients had ear pain. There were 2 patients (7.15%) with ear discharge on day 14. Results after 3 months, the rate of intact, bright, shiny eardrum was 82.14%; The rate of perforated eardrum is 7.14%; 1 patient (3.57%) relapsed.

Conclusion: Early detection of congenital cholesteatoma through ENT endoscopy is necessary and meaningful in treatment, avoiding complications and recurrence after surgery.

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