Open AccessCongenital Cholesteatoma in Adult: Is it Still Possible?
Author(s) -
Heng Yao Tan,
Anuar Idwan Idris,
Cheng Ai Ong,
A Asma
Publication year - 2021
Publication title -
bangladesh journal of otorhinolaryngology
Language(s) - English
Resource type - Journals
eISSN - 2304-6244
pISSN - 1728-8835
DOI - 10.3329/bjo.v27i1.53214
Subject(s) - medicine , cholesteatoma , tympanic membrane perforation , fistula , vertigo , temporal bone , perforation , surgery , tinnitus , mastoidectomy , middle ear , audiology , tympanoplasty , punching , materials science , metallurgy
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.
Bangladesh J Otorhinolaryngol; April 2021; 27(1): 96-99