Otoscleroma of the Middle Ear and Mastoid Cavity with Facial Palsy: A Case Report | ||
| Iranian Journal of Otorhinolaryngology | ||
| دوره 37، شماره 1، فروردین و اردیبهشت 2025، صفحه 51-55 اصل مقاله (437.94 K) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.22038/ijorl.2024.79380.3675 | ||
| نویسندگان | ||
| Ahmed Galal* 1؛ Ahmed Abdelbaki1؛ Hanan Yehia Tayel2؛ Hesham Mustafa Abdel-Fattah1 | ||
| 1Department of Otorhinolaryngology, Faculty of Medicine, Alexandria University, Egypt. | ||
| 2Department of Pathology, Faculty of Medicine, Alexandria University, Egypt. | ||
| چکیده | ||
| Introduction: Scleroma is a chronic, specific granulomatous disease that affects the head and neck mucosa. Its common sites are the nose and larynx; however, it might affect other areas. One of the rare sites to be affected is the middle ear and mastoid cavity, for which the term otoscleroma was coined. We present such a rare case in this report. Case Report: A 47-year-old patient with a history of both old laryngoscleroma and recent Rhinoscleroma. He presented with symptoms of ear discharge and facial palsy. Examination revealed complete facial nerve palsy and an external auditory canal polyp. A decision was made to perform subtotal petrosectomy with facial nerve decompression and maximum debulking to be sent for histopathology. The result came typical of otoscleroma Conclusion: Otoscleroma is a fairly rare occurrence. It might be primary, with no evidence of Scleroma in other sites or following rhino and/or laryngoscleroma. It might be unilateral or bilateral. It might mimic the clinical picture of chronic suppurative otitis media and its complications. Tympano-mastoidectomy is recommended to stop the discharge, obtain a proper biopsy and decompress the facial nerve if needed. Otoscleroma should be suspected in the case of previous Scleroma in other sites, and otitis media or complications like manifestations. | ||
| کلیدواژهها | ||
| Otoscleroma؛ rhinoslceroma؛ Facial palsy؛ Subtotal petrosectomy؛ Facial nerve decompression | ||
| مراجع | ||
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