Organizing committee

R. Pirrone, R. Azevedo, Gautam Biswas
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Abstract

Cholesteatoma of external auditory canal is a rare disease with an estimated incidence of 1 : 1000 of all patients seen in otologic practice. The purpose of this article is to present a case of this condition, with its main features and differential diagnosis, making it more easily recognizable in daily practice. Case Report: E.M.S 72 year-old male with chronic otorrhea in the left ear for about 8 months, with no improvement despite the use of different types of ear drops. Otoscopy revealed purulent secretion and bone erosion of the external auditory canal (EAC).The tympanic membrane had no perforation and its transparency was preserved. Computed tomography of the mastoid showed the erosion area in EAC (Grade III), without middle ear involvement. The histopathology was compatible with cholesteatoma. The treatment was surgical. Comments: The external auditory canal cholesteatoma is a difficult disease to diagnose because its clinical similarity to other external ear disorders .Obliterans keratosis and malignant otitis externa are the main conditions that should be considered as a diagnostic differential. CT scan is an important diagnostic tool to elucidate which of these primary lesions is present. A6282. Esthesioneuroblastoma: A Case Report Vanessa de Araújo Souza, Alexandra Torres Cordeiro Lopes de Souza, Mariana Azevedo Silva, Dario Hart Signorini, Eliana Freitas Cardoso, Ana Laura Carneiro Santos, Monik Souza Lins
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外耳道胆脂瘤是一种罕见的疾病,估计发病率为耳科实践中所有患者的1:1000。本文的目的是提出一个病例,与它的主要特点和鉴别诊断,使其在日常实践中更容易识别。病例报告:emms 72岁男性,左耳慢性耳漏约8个月,尽管使用不同类型的滴耳液,仍无改善。耳镜检查显示外耳道脓性分泌物及骨质侵蚀。鼓膜无穿孔,保持透明。乳突ct显示EAC糜烂区(III级),未累及中耳。组织病理学与胆脂瘤相符。手术治疗。评论:外耳道胆脂瘤与其他外耳疾病有相似之处,是一种较难诊断的疾病,闭塞性角化病和外耳恶性中耳炎是应考虑的主要诊断鉴别条件。CT扫描是一个重要的诊断工具,以阐明哪些原发病变存在。A6282。Vanessa de Araújo Souza, Alexandra Torres Cordeiro Lopes de Souza, Mariana Azevedo Silva, Dario Hart Signorini, Eliana Freitas Cardoso, Ana Laura Carneiro Santos, Monik Souza Lins
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