International journal of pediatric otorhinolaryngology · 2025
Temporal bone histiocytosis in children: a systematic review.
СтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
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Galluzzi Francesca, Garavello Werner
Аннотация
OBJECTIVE: To analyze the diagnosis, treatment, and outcomes of temporal bone histiocytosis (TBH) in children.
METHODS: A systematic review was conducted based on PRISMA guidelines. A literature review on the databases PubMed and Embase was conducted. Risk of bias was evaluated using the MINOR Score.
RESULTS: Eight retrospective studies with 84 subjects were included. The mean age was 3 years with a prevalence of male. Clinical features comprehend otorrhea, otalgia, recurrent external and media otitis, postauricular swelling, dermatitis, and external ear canal polyps/mass. 52/84 (62 %) children had single system involvement, and most extra-temporal bone involvement was pituitary gland with diabetes insipidus. CT scan revealed osteolytic lesions without surrounding sclerosis and punched-out lesions centered in the squamous part. The subsites most involved were: mastoid, external and middle ears and temporal squama, less frequently optic capsule and petrous apex. One-third of cases had bilateral involvement. MRI was helpful for detecting intracranial lesions. Hearing loss was conductive (20 cases), sensorineural (4) and mixed (5). Treatment strategies included: CT and RT, CT alone, surgery and RT, and surgery and CT. The overall recurrence rate was 20.2 % (17/84). The duration of follow-up ranged from 6 weeks to 18 years. Temporal bone complications were facial palsy, cholesteatoma, and chronic dermatitis.
CONCLUSION: Management of temporal bone histiocytosis in children requires a multidisciplinary approach. The role of otolaryngologist is crucial for the early diagnosis and surgical treatment of selected cases. A long-term follow-up is necessary to detect recurrences and otological complications.
METHODS: A systematic review was conducted based on PRISMA guidelines. A literature review on the databases PubMed and Embase was conducted. Risk of bias was evaluated using the MINOR Score.
RESULTS: Eight retrospective studies with 84 subjects were included. The mean age was 3 years with a prevalence of male. Clinical features comprehend otorrhea, otalgia, recurrent external and media otitis, postauricular swelling, dermatitis, and external ear canal polyps/mass. 52/84 (62 %) children had single system involvement, and most extra-temporal bone involvement was pituitary gland with diabetes insipidus. CT scan revealed osteolytic lesions without surrounding sclerosis and punched-out lesions centered in the squamous part. The subsites most involved were: mastoid, external and middle ears and temporal squama, less frequently optic capsule and petrous apex. One-third of cases had bilateral involvement. MRI was helpful for detecting intracranial lesions. Hearing loss was conductive (20 cases), sensorineural (4) and mixed (5). Treatment strategies included: CT and RT, CT alone, surgery and RT, and surgery and CT. The overall recurrence rate was 20.2 % (17/84). The duration of follow-up ranged from 6 weeks to 18 years. Temporal bone complications were facial palsy, cholesteatoma, and chronic dermatitis.
CONCLUSION: Management of temporal bone histiocytosis in children requires a multidisciplinary approach. The role of otolaryngologist is crucial for the early diagnosis and surgical treatment of selected cases. A long-term follow-up is necessary to detect recurrences and otological complications.