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DOI: 10.60137/tmhvn.v70i73.305
Issue
Vol. 70 No. 73 (2025)
Section
Articles
How to Cite
Tang, X. H., Phan, Q. T., Nguyen, T. N. A., & Nguyen, M. Q. To evaluate the outcomes of endoscopic middle ear microsurgery in the treatment of congenital middle ear cholesteatoma. Vietnam Journal of Otorhinolaryngology - Head and Neck Surgery, 70(73). https://doi.org/10.60137/tmhvn.v70i73.305

To evaluate the outcomes of endoscopic middle ear microsurgery in the treatment of congenital middle ear cholesteatoma

Xuan Hai Tang1, Quang Trung Phan2, , Thi Ngoc Anh Nguyen3, Mau Quy Nguyen4
1 Bệnh viện Sản Nhi Nghệ An
2 Bv Sản Nhi Nghệ An
3 Trường Đại Học Y Dược Đại Học Thái Nguyên
4 Đại Học Y Khoa Vinh

Main Article Content

Abstract

Objective: To evaluate the outcomes of endoscopic middle ear microsurgery in the treatment of congenital middle ear cholesteatoma.
Subjects and Methods: A cross-sectional (retrospective and prospective) study was conducted on 31 patients diagnosed with congenital middle ear cholesteatoma who underwent endoscopic surgery at Nghe An Obstetrics and Pediatric Hospital from 2023 to 2025.
Results: The youngest patient was 9 months old and the oldest was 93 months, with a male-to-female ratio of 2:1. The typical endoscopic finding was a white mass behind the intact tympanic membrane (93.5%), most commonly located in the anterosuperior quadrant (38.7%). On CT scans, 93.5% of cases were classified as Postic stage I, 6.5% as stage II, and none as stage III or IV. No major complications were observed at 1, 7, and 14 days postoperatively. Two patients (6.5%) had mild otorrhea on day 14. After 3 months, 87.1% of tympanic membranes were intact and shiny, 3.2% had perforations, and only one case (3.2%) showed recurrence.
Conclusion: Endoscopic surgery for congenital middle ear cholesteatoma is a safe and effective technique, offering mild postoperative recovery and low recurrence rates, especially when performed at an early stage.

Keywords

Congenital middle ear cholesteatoma, endoscopic ear surgery

Article Details

References

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