Congenital Cholesteatoma in Adult: Is it Still Possible?

IF 0.1 Q4 OTORHINOLARYNGOLOGY Bangladesh Journal of Otorhinolaryngology Pub Date : 2021-04-28 DOI:10.3329/BJO.V27I1.53214
H. Tan, A. Idris, C. Ong, A. Asma
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Abstract

Congenital cholesteatoma is a mass of squamous epithelium located medial to an intact tympanic membrane without previous history of tympanic membrane perforation, otorrhoea or otological surgery. We described a 24 year old gentleman with a left postauricular discharging fistula for 3 years with recent history of gradual hearing loss, tinnitus and recurrent episodes of positional vertigo. Clinical examination noted left postauricular fistula opening and otoscopy showed a whitish mass medial to a bulging intact tympanic membrane. High-resolution computed tomography of temporal bone was suggestive of cholesteatoma. Left modified radical mastoidectomy was done and he recovered with resolution of symptoms.
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成人先天性胆脂瘤:仍有可能吗?
先天性胆脂瘤是一种位于完整鼓膜内侧的鳞状上皮肿块,无鼓膜穿孔、耳漏或耳科手术史。我们描述了一位24岁的男士,他患有左侧耳后放瘘3年,最近有逐渐听力丧失,耳鸣和反复发作的位置性眩晕。临床检查发现左侧耳后瘘开口,耳镜检查显示鼓膜内侧有白色肿块。颞骨高分辨率计算机断层扫描提示胆脂瘤。行左侧改良根治性乳突切除术后,患者症状好转。
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