Pediatric middle ear cholesteatoma is an aggressive keratotic lesion caused by abnormal proliferation of keratinised squamous epithelium in the temporal bone, with the characteristics of high postoperative recurrence rate, poor hearing effect and poor quality of life. Endoscopic surgery is able to deal with the majority of pediatric middle ear cholesteatoma cases with the features of minimal trauma and wide surgical field. However, endoscopic surgical treatment still has problems in standardization. In order to facilitate the development of endoscopic surgery for pediatric middle ear cholesteatoma, experts of the Endoscopic Ear Surgery Expert Committee and the Youth Committee of the Otorhinolaryngology Professional Committee, Chinese Association of Integrative Medicine discussed and formulated recommendations for the selection of endoscopic surgical and functional reconstruction methods of pediatric middle ear cholesteatoma based on the classification of cholesteatoma location in line with the clinical research results and diagnosis and treatment experience at home and abroad, aiming to provide guidance for the development of endoscopic surgery in pediatric setting.
儿童中耳胆脂瘤是一种颞骨角化鳞状上皮异常增生引起的具有侵袭性的角质病变，具有术后复发率高、听力效果不佳、生活质量差的特点，耳内镜下手术能够处理绝大部分儿童中耳胆脂瘤病例，且具有创伤小、手术视野开阔的特点，但耳内镜手术治疗在规范化方面仍存在问题。中国中西医结合学会耳鼻咽喉科专业委员会耳内镜专家委员会和青年委员会在总结国内外临床研究结果和诊疗经验的基础上，讨论并制订了以胆脂瘤部位分型为依据的儿童中耳胆脂瘤耳内镜术式选择专家共识，为耳内镜手术在儿童中耳胆脂瘤中的开展提供指导性意见。.