Vascular Strip Cholesteatoma- A Case Report | ||
| Iranian Journal of Otorhinolaryngology | ||
| مقاله 8، دوره 31، شماره 5 - شماره پیاپی 106، آذر و دی 2019، صفحه 311-314 اصل مقاله (387.12 K) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.22038/ijorl.2019.34658.2148 | ||
| نویسندگان | ||
| Ajay Bhandarkar* 1؛ Samarth Goyal2؛ Manna Valiathan3؛ Kailesh Pujary1 | ||
| 1Department of ENT, Kasturba Medical College, Manipal Academy of Higher Education, Madhavnagar Manipal, India. | ||
| 2Undergraduate Student, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India. | ||
| 3Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India. | ||
| چکیده | ||
| 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. | ||
| کلیدواژهها | ||
| Cholesteatoma؛ Canal wall reconstruction؛ External Auditory Canal؛ Mastoidectomy | ||
| مراجع | ||
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