caa a22 4500 606185003 CHVBK 20210128100829.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00405-014-3285-y doi (NATIONALLICENCE)springer-10.1007/s00405-014-3285-y Cholesteatoma: a disease of the poor (socially deprived)? [Elektronische Daten] [Mamoona Khalid-Raja, Theofano Tikka, Chris Coulson] Cholesteatoma is a condition describing the accumulation of squamous epithelium and keratinocytes within the middle ear space. There is conflicting evidence regarding the influence of socioeconomical status on the prevalence of cholesteatoma. Hospital episode statistics (HES) data detailing the numbers of cholesteatoma surgeries performed per area were compared with the Index of Multiple Deprivation 2010 (IMD 2010) data that give a statistical measure of deprivation per local health authority in the UK. Statistical analysis of this data was performed to identify correlations between prevalence of cholesteatoma and deprivation. A trend was identified showing that health authorities associated with an overall low IMD 2010 value indicating more deprived, had higher numbers of mastoid operations. Our results have found that increasing levels of deprivation are associated with greater numbers of mastoid operations and thus greater numbers of cholesteatomas. Our work suggests that there is a need for additional input in deprived areas to accommodate the increased numbers of mastoid operations and chronic middle ear disease. Springer-Verlag Berlin Heidelberg, 2014 Cholesteatoma nationallicence Mastoid surgery nationallicence Socioeconomical deprivation nationallicence Middle ear disease nationallicence Chronic suppurative otitis media nationallicence Khalid-Raja Mamoona University Hospital of Birmingham, Queen Elizabeth Hospital, Mindelsohn Way, B15 2WB, Birmingham, UK aut Tikka Theofano University Hospital of Birmingham, Queen Elizabeth Hospital, Mindelsohn Way, B15 2WB, Birmingham, UK aut Coulson Chris University Hospital of Birmingham, Queen Elizabeth Hospital, Mindelsohn Way, B15 2WB, Birmingham, UK aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 2799-2805 0937-4477 272:10<2799 2015 272 405 https://doi.org/10.1007/s00405-014-3285-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3285-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Khalid-Raja Mamoona University Hospital of Birmingham, Queen Elizabeth Hospital, Mindelsohn Way, B15 2WB, Birmingham, UK aut NATIONALLICENCE 700 1- Tikka Theofano University Hospital of Birmingham, Queen Elizabeth Hospital, Mindelsohn Way, B15 2WB, Birmingham, UK aut NATIONALLICENCE 700 1- Coulson Chris University Hospital of Birmingham, Queen Elizabeth Hospital, Mindelsohn Way, B15 2WB, Birmingham, UK aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 2799-2805 0937-4477 272:10<2799 2015 272 405