2024, Number 2
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Acta de Otorrinolaringología CCC 2024; 52 (2)
Cerebral abscess secondary to invasive cholesteatoma of the external auditory canal: Case report and literature review
Mosquera-Ortiz CA, Bernal-Rojas PA, Vega-Hernández KD
Language: Spanish
References: 8
Page: 117-121
PDF size: 183.17 Kb.
ABSTRACT
Introduction: Cholesteatoma is a condition that frequently affects the middle ear
and mastoid. Its occurrence in the external auditory canal is rare.
Case report: A
44-year-old man with a chronic history of hearing loss, aural fullness, and left-sided
otorrhea was referred from a rural area due to symptom exacerbation and headache.
An emergency drainage of a left temporal abscess was required. A CT scan of
the ears revealed mastoid occupation with the presence of soft tissue material and
stenosis of the external auditory canal. The patient underwent a subtotal petrosectomy,
drainage of the brain abscess, resection of the invasive cholesteatoma, and
obliteration of the external auditory meatus.
Discussion: The diagnosis of cholesteatoma
is primarily clinical. However, in cases of external auditory canal stenosis,
a more thorough evaluation is necessary.
Conclusion: Timely interventions should
be implemented to enable early diagnosis of cholesteatoma in patients with external
auditory canal stenosis.
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