[The treatment of chronic cholesteatomatous otitis media in the child (author's transl)].

On the basis of 38 cases seen in the child, with a postoperative follow-up of more than 2 years, the authors note the special and early aggressive nature of cholesteatoma of the middle year at this age. Its development depends upon tubal factors which in general remain in an underlying position but involve the risk of inducing direct complications during the postoperative course. These reasons lead to the suggestion of a technique involving sacrifice of the osseous meatus and tympanoplasty which often saves hearing. Preservation of the osseous meatus is still to be recommended in limited forms and in the absence of any notable tubal factor, not encountered in this series.