Vascular strip cholesteatoma-a case report

Research output: Contribution to journalArticle

Abstract

Introduction: The incidence of cholesteatoma occurring as a result of tympanoplasty is extremely rare. Understanding the cause and preventing its occurrence in the future is the main intention of highlighting this peculiar presentation. Case Report: A 25-year-old woman presented with progressive hearing loss and blocked sensation in the left ear of one and a half months duration. Past history revealed a history of left myringoplasty six years prior to presentation. Clinical examination of the ear revealed a smooth, soft epithelium covered bulge in the lateral one-third of the floor and posterior wall of the left external auditory canal. HRCT and MRI of the temporal bone confirmed the presence of a soft tissue density in the mastoid. Pure tone audiometry revealed conductive hearing loss. She underwent mastoid exploration, removal of sac with soft wall reconstruction. Conclusion: Proper placement of the vascular strip with the skin lining the external auditory canal with approximation of the incision margins is essential to prevent iatrogenic cholesteatoma formation. Close follow-up is essential to prevent any recurrence and diffusion weighted MRI plays a vital role in detection of recurrence.

Original languageEnglish
Pages (from-to)311-314
Number of pages4
JournalIranian Journal of Otorhinolaryngology
Volume31
Issue number5
Publication statusPublished - 01-01-2019

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Cholesteatoma
Ear Canal
Mastoid
Ear
Blood Vessels
Myringoplasty
Conductive Hearing Loss
Pure-Tone Audiometry
Tympanoplasty
Recurrence
Diffusion Magnetic Resonance Imaging
Temporal Bone
Hearing Loss
Epithelium
Skin
Incidence

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

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abstract = "Introduction: The incidence of cholesteatoma occurring as a result of tympanoplasty is extremely rare. Understanding the cause and preventing its occurrence in the future is the main intention of highlighting this peculiar presentation. Case Report: A 25-year-old woman presented with progressive hearing loss and blocked sensation in the left ear of one and a half months duration. Past history revealed a history of left myringoplasty six years prior to presentation. Clinical examination of the ear revealed a smooth, soft epithelium covered bulge in the lateral one-third of the floor and posterior wall of the left external auditory canal. HRCT and MRI of the temporal bone confirmed the presence of a soft tissue density in the mastoid. Pure tone audiometry revealed conductive hearing loss. She underwent mastoid exploration, removal of sac with soft wall reconstruction. Conclusion: Proper placement of the vascular strip with the skin lining the external auditory canal with approximation of the incision margins is essential to prevent iatrogenic cholesteatoma formation. Close follow-up is essential to prevent any recurrence and diffusion weighted MRI plays a vital role in detection of recurrence.",
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Vascular strip cholesteatoma-a case report. / Bhandarkar, Ajay M.; Goyal, Samarth; Valiathan, Manna; Pujary, Kailesh.

In: Iranian Journal of Otorhinolaryngology, Vol. 31, No. 5, 01.01.2019, p. 311-314.

Research output: Contribution to journalArticle

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