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Factors affecting complications and comorbidities in children with cholesteatoma

International Journal of Pediatric Otorhinolaryngology May 16, 2020

Lee JA, Fuller SR, Nguyen SA, et al. - In this research, the impacts of age, race, payer status, and socioeconomic status on complications and comorbidities in children with cholesteatoma were explored. Between 2006 and 2016, researchers carried out an analysis of the Kids’ Inpatient Database on cases of cholesteatoma, along with associated complications or co-morbidities and surgical interventions. Over the study period, a total of 1,552 cases of pediatric cholesteatoma represented 5.6 cases per 100,000 total discharges. The outcomes suggest that variations pertaining to age, race, payer status, and socioeconomic status exist in the presentation and surgical management of children hospitalized with cholesteatoma. There was an increased risk of intracranial complications in older children. It was considered that individuals of Black and Hispanic race might have a higher risk of facial nerve palsy. Children from lower income families more frequently develop acute mastoiditis and subperiosteal abscess in comparison with those of higher income families. For children, providers should be mindful of these risk factors when caring with cholesteatoma.

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