Pediatric ossiculoplasty and implications in cholesteatoma surgery

The success of pediatric ossiculoplasty after treatment of cholesteatoma depends on several factors including timing of surgery, prosthesis type, and middle ear status. Because cholesteatoma can be more aggressive in children, a tailored and staged approach, combined with advances in imaging and endoscopic techniques, is essential for optimal management. Future directions point toward personalized solutions using 3D modeling and biocompatible implants to further enhance outcomes.