PEDIATRIC OTOLARYNGOLOGY: Edited by Taylor FordhamUpdates in paediatric cholesteatomaOrobello, Nick; Harrington, Chloe; Reilly, Brian K. Author Information George Washington University Medical Center, Children's National Hospital, Washington, District of Columbia, USA Correspondence to Brian K. Reilly, MD, Department of Otolaryngology, George Washington University Medical Center, Children's National Hospital, 111 Michigan Ave. NW, Washington, DC 20010, USA. Tel: +1 202 476 5727; e-mail: [email protected] Current Opinion in Otolaryngology & Head and Neck Surgery 30(6):p 422-425, December 2022. | DOI: 10.1097/MOO.0000000000000850 Buy Metrics Abstract Purpose of review The management of paediatric patients with cholesteatoma is complex, as the disease process is more aggressive in children than adults. New technologies and practice adaptations currently help optimize the surgical management and monitoring of these challenging patients. Recent findings Several options of surgical management are available and are associated with equal if not improved outcomes. Technologic advancements in endoscopic ear surgery, the discovery of chemical-assisted dissection of cholesteatoma and advanced imaging protocols have enabled surgeons to better care for patients with this complex disease process. Summary The advances in endoscopic ear surgery, the discovery of Mesna as a chemically assisted dissection agent to improve recidivism rates and the use of specific diffusion-weighted MRI protocols enable the otologic surgeon to better care for these paediatric patients. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.