WEKO3
アイテム
Development of Air Cell System Following Canal Wall Up Mastoidectomy for Pediatric Cholesteatoma
http://hdl.handle.net/10458/0002001125
http://hdl.handle.net/10458/0002001125dd96e7ab-f58a-411f-b491-f3db93c8d4de
| 名前 / ファイル | ライセンス | アクション |
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| アイテムタイプ | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||||
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| 公開日 | 2025-03-31 | |||||||||||||||||||||||
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| タイトル | Development of Air Cell System Following Canal Wall Up Mastoidectomy for Pediatric Cholesteatoma | |||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
| キーワード | air cell development | |||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||
| キーワード | canal wall up mastoidectomy | |||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||
| キーワード | pediatric middle ear cholesteatoma | |||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||
| キーワード | postoperative pneumatization | |||||||||||||||||||||||
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| 言語 | en | |||||||||||||||||||||||
| キーワード | temporal bone CT | |||||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||
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| アクセス権 | open access | |||||||||||||||||||||||
| 著者 |
Yamada, Yusuke
× Yamada, Yusuke
× Ganaha, Akira
× 野尻, 尚× 後藤, 隆史
WEKO
35172
× 髙橋, 邦行
WEKO
35246
× 東野, 哲也 |
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| 内容記述タイプ | Abstract | |||||||||||||||||||||||
| 内容記述 | Background: The development of temporal bone pneumatization is related to the postnatal middle ear environment, where the development of air cells is suppressed with otitis media in early childhood. However, whether air cell formation restarts when mastoidectomy is performed during temporal bone pneumatization remains unclear. Herein, we evaluated temporal bone pneumatization after canal wall up (CWU) tympanomastoidectomy for middle ear cholesteatoma in children. Methods: In total, 63 patients, including 29 patients with congenital cholesteatoma (CC) and 34 patients with acquired cholesteatoma (AC), were assessed using a set of pre- and postoperative computed tomography images. The air cells of the temporal bone were divided into five areas: periantral (anterior), periantral (posterior), periantral (medial), peritubal, and petrous apex. The number of areas with air cells before and after surgery was compared to evaluate temporal bone pneumatization after surgery. Results: A total of 63 patients, comprising 29 with CC and 34 with AC (pars flaccida; 23, pars tensa; 7, unclassified; 4), were evaluated. The median age of patients (18 males and 11 females) with CC was 5.0 (range, 2–15 years), while that of the AC group (23 males and 11 females) was 8 (range, 2–15 years). A significant difference in air cell presence was identified in the CC and AC groups after surgery (Mann–Whitney U, p < 0.001 and p = 0.003, respectively). Between the two groups, considerably better postoperative pneumatization was observed in the CC group. A correlation between age at surgery and gain of postoperative air cell area development was identified in the CC group (Spearman’s rank-order correlation coefficient, r = −0.584, p < 0.001). In comparison with the postoperative pneumatization rate of each classified area, the petrous apex area was the lowest in the CC and AC groups. Conclusions: Newly developed air cells were identified in the temporal bones after CWU mastoidectomy for pediatric cholesteatoma. These findings may justify CWU tympanomastoidectomy, at least for younger children and CC patients, who may subsequently develop air cell systems after surgery. | |||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
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| 内容記述タイプ | Other | |||||||||||||||||||||||
| 内容記述 | Citation: Yamada, Y.; Ganaha, A.; Nojiri, N.; Goto, T.; Takahashi, K.; Tono, T. Development of Air Cell System Following Canal Wall Up Mastoidectomy for Pediatric Cholesteatoma. J. Clin. Med. 2024, 13, 2934. https://doi.org/10.3390/jcm13102934 | |||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
| bibliographic_information |
en : Journal of Clinical Medicine 巻 13, 号 10, p. 2934, 発行日 2024-05-16 |
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| 出版者 | MDPI AG | |||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
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| 収録物識別子タイプ | EISSN | |||||||||||||||||||||||
| 収録物識別子 | 2077-0383 | |||||||||||||||||||||||
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| 関連タイプ | isVersionOf | |||||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.3390/jcm13102934 | |||||||||||||||||||||||
| 権利 | ||||||||||||||||||||||||
| 権利情報 | © 2024 by the authors. | |||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||||||
