الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
This study aimed to : Eradication of cholesteatoma and hearing function preservation andor restoration in pediatric patients presents unique surgical challenges. The balance between these two goals is related to an individualized approach which is needed for the treatment of pediatric cholesteatoma, and the choice of surgical technique should be based on anatomical, biological, radiological and social factors. This is a prospective study carried out over a period of three years. Forty cases of (CSOM) in pediatrics with cholesteatoma irrespective of the presence or absence of complications were included for the study. These patients were divided into 24 patients in whome modified intact canal wall tympanomastoidectomy (CWU) was performed, 12 patients in whome CWD was performed in and, 4 cases treated with Attico-tympanotomy. We evaluate management strategy for pediatric cholesteatoma, evaluate the surgery regarding complete eradication of the disease, restoration of normal ear function and recurrence or residual disease. There was no significant difference in the mean postoperative AB gap in CWU andattico-tympanotomy, but there was significant difference in CWD. There was significant difference in healing duration between both CWU and CWD. There were 5 cases of Cholesteatoma recidivism in CWU and no cases of residual or recurrence in CWD and attico-tympanotomy. The choice of surgical technique is in fact a functional choice. The patient is better served by a single operation which selected and meticulously accomplished. The 2nd look operations and planned staged surgery decreased due to the advancement of otoendoscopic surgery assessment and the introduction of new MRI techniques (EPI DWI). The modified CWU technique is used mainly to avoid revisions and the second look operations, which usually ended in a CWD procedure.