Recurrence of attic cholesteatoma: different methods of estimating recurrence rates

Otolaryngol Head Neck Surg. 2000 Sep;123(3):283-7. doi: 10.1067/mhn.2000.104666.

Abstract

One problem in cholesteatoma surgery is recurrence of cholesteatoma, which is reported to vary from 5% to 71%. This great variability can be explained by issues such as the type of cholesteatoma, surgical technique, follow-up rate, length of the postoperative observation period, and statistical method applied. The aim of this study was to illustrate the impact of applying different statistical methods to the same material. Thirty-three children underwent single-stage surgery for attic cholesteatoma during a 15-year period. Thirty patients (94%) attended a re-evaluation. During the observation period of 15 years, recurrence of cholesteatoma occurred in 10 ears. The cumulative total recurrence rate varied from 30% to 67%, depending on the statistical method applied. In conclusion, the choice of statistical method should depend on the number of patients, follow-up rates, length of the postoperative observation period and presence of censored data.

Publication types

  • Comparative Study

MeSH terms

  • Actuarial Analysis
  • Adolescent
  • Child
  • Cholesteatoma, Middle Ear / epidemiology*
  • Cholesteatoma, Middle Ear / surgery*
  • Humans
  • Neoplasm Recurrence, Local / epidemiology*
  • Statistics as Topic