Giant Destructive Congenital Mastoid Cholesteatoma with Minimal Clinical Presentation

Čvorović, Ljiljana; Jovanović, Milan B.; Milutinović, Zoran

doi:10.1177/0194599810391850

Cited by 10 publications

(19 citation statements)

References 4 publications

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“…1,4 In such cases, the most common symptoms are dizziness, pain, or swelling that may be localized to the temporal area of the head or to the neck. 1,4,5 As was the case with our patient, these lesions are also often much larger in cases where diagnosis is delayed until adulthood. 2,4,5 The use of common imaging modalities such as highresolution CT and MRI are important to detect and also define the extent of the lesion, which is crucial for planning surgical intervention.…”

Section: Discussionsupporting

confidence: 78%

“…1,4,5 As was the case with our patient, these lesions are also often much larger in cases where diagnosis is delayed until adulthood. 2,4,5 The use of common imaging modalities such as highresolution CT and MRI are important to detect and also define the extent of the lesion, which is crucial for planning surgical intervention. 1,3,4 CT scans confirm the presence and provide an indication of the size and extent of the lesion, and MRI helps further enhance the evaluation of lesions detected by distinguishing cholesteatomas from other soft tissue masses such as neuromas, schwannomas, or metastases.…”

Section: Discussionsupporting

confidence: 78%

“…4 Congenital cholesteatomas of mastoid origin may grow silently over many years and develop into a massive size before being detected. 5 A high index of suspicion is necessary to detect congenital cholesteatomas in patients with unilateral conductive hearing loss with a white mass behind an intact tympanic membrane. 1,4 Fig .…”

Section: Resultsmentioning

confidence: 99%

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Delayed Presentation of a Congenital Cholesteatoma in a 64-year-old Man: Case Report and Review of the Literature

Davidoss

Banga

et al. 2014

J Neurol Surg Rep

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Introduction Congenital cholesteatomas of the temporal bone are epidermoid cysts of embryologic origin that result in progressive desquamation and trapping of squamous epithelium behind an intact tympanic membrane. They are benign, slowly progressive lesions that can be found in various areas of the temporal bone. We report a case of a patient with a massive cholesteatoma first detected at the age of 64 years, causing significant destruction of the mastoid and petrous temporal bones, and adjacent occipital bone. Methods We reviewed the literature and a case report of a patient seen in our institution recently. The Medline database was used to search multiple terms including “congenital” and “cholesteatoma.” Results The patient's congenital cholesteatoma was detected incidentally on a computed tomography scan when the patient's only symptoms were unilateral conductive hearing loss with a family history of hearing loss. It was subsequently successfully operated on with minimal postoperative complications. Conclusions Congenital cholesteatomas of mastoid origin can often exist for many years in a subclinical state and develop into a massive size before causing symptoms. A high index of suspicion is necessary to detect congenital cholesteatomas in patients with unilateral conductive hearing loss who are otherwise asymptomatic and have a normal tympanic membrane.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionsupporting

confidence: 78%

See 1 more Smart Citation

Delayed Presentation of a Congenital Cholesteatoma in a 64-year-old Man: Case Report and Review of the Literature

Davidoss

Banga

et al. 2014

J Neurol Surg Rep

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“…[9] In the literature, there are a few case reports about CC of mastoid origin. [4,[10][11][12] The symptoms are atypical and include ear ache, retroauricular swelling and pain and dizziness [10] or patients can be asymptomatic and present with narrowing of the ear canal. In our case, the patient presented with ear ache and discharge.…”

Section: Discussionmentioning

confidence: 99%

“…CC of mastoid origin can exist for years in an indolent state, develop to giant size and in some cases, rapidly cause bone destruction and serious complications. [4] cAse report no history of decreased hearing, trauma, prior otorrhea or any otological procedures. On otoscopic examination, there were granulations along the floor of the canal, obscuring the tympanic membrane.…”

Section: Case Report Introductionmentioning

confidence: 99%

Congenital cholesteatoma of the mastoid process

Chauhan¹,

J²,

Wadhwa³

et al. 2015

Indian J Otol

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Detection of Helicobacter Pylori in Nasal Polyps: An Epidemiological Study

Zika

Fousekis

Exarchakos

et al. 2023

Indian J Otolaryngol Head Neck Surg

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Many studies have described the detection of Helicobacter pylori (HP) in the nasal polyps; however, although gastroesophageal reflux has been associated with chronic rhinosinusitis and nasal polyps development, the role of HP remains unclear. Our aim was to describe the prevalence of HP detection in nasal polyps and its association with gastric HP infection and gastroesophageal reflux dsease (GERD). The prospective study involved 36 patients with nasal polyps, who underwent to endoscopic surgery removal of nasal polyps. Before surgical procedure all patients were tested for gastric HP infection by 13 C-urea breath test, while tissue samples from nasal polyps were tested for HP detection, using rapid urease test (CLO test) and histological examination with Giemsa stain. All patients were asked about GERD-related symptoms. HP in nasal polyps was detected in 9 out of 36 patients (25%) using histological examination with Giemsa stain, while the detection rate of HP was 30.5% (11/36) using CLO test. Furthermore, 28 out of 36 patients (77.7%) had gastric HP infection. All patients with HP colonization in nasal polyps had gastric HP infection and all patients with HP in nasal polyps reported symptoms related to GERD. HP was detected in approximately one out of three patients in nasal polyps, while all patients with HP detection in nasal polyps had concurrently gastric HP infection and reported GERD-related symptoms, suggesting a gastro-nasal route of HP.

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Giant Destructive Congenital Mastoid Cholesteatoma with Minimal Clinical Presentation

Cited by 10 publications

References 4 publications

Delayed Presentation of a Congenital Cholesteatoma in a 64-year-old Man: Case Report and Review of the Literature

Delayed Presentation of a Congenital Cholesteatoma in a 64-year-old Man: Case Report and Review of the Literature

Congenital cholesteatoma of the mastoid process

Detection of Helicobacter Pylori in Nasal Polyps: An Epidemiological Study

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