J Craniofac Surg. 2025 May 14. doi: 10.1097/SCS.0000000000011489. Online ahead of print.
ABSTRACT
OBJECTIVE: Routine health check-ups and medical consultations are essential methods for the early identification of congenital cholesteatoma (CC). This study aims to examine the differences in disease staging, surgical approaches, duration of surgery, length of hospital stay, and hospitalization costs between cases of CC detected during routine health check-ups and those identified through medical consultations.
METHODS: A retrospective review was performed on 28 pediatric patients diagnosed with CC at the Children’s Hospital of Chongqing Medical University between January 2018 and March 2024. The patients were categorized based on the method of CC detection-either through routine health check-ups or medical consultations. Subsequently, the study assessed variables including patient age, Potsic stage, surgical methods, duration of surgery, length of hospital stay, and hospitalization costs for each category.
RESULTS: A cohort of 28 patients were included in this study, with an average age of 6.02±1.99 years (range: 3.25-10.33 y). The mean hospitalization duration was 9.00 days (interquartile range: 6.25-11.00 d), and the average operation time was 123±64 minutes (range: 30-320 min). Significant differences were observed between cases of CC identified through different detection methods in terms of Potsic stage (P=0.011), surgical approach (P=0.02), surgical duration (P=0.028), length of hospital stay (Z=3.84, P=0.000), and hospitalization costs (Z=3.99, P=0.000). In addition, a significant positive correlation was found between Potsic stage and age (r=0.434, P=0.021), detection method (r=0.572, P=0.001), and surgical approach (r=0.954, P=0.000).
CONCLUSION: The early detection of congenital cholesteatomas through physical examinations is significant for effective treatment, enhanced prognosis, and enhanced quality of life for patients.
PMID:40367497 | DOI:10.1097/SCS.0000000000011489
