Cukurova Ibrahim, Demirhan Erhan, Arslan Ilker B, Cumurcu Suheyla
Department of ENT Head and Neck Surgery, Izmir Tepecik Training and Research Hospital, Turkey.
J Med Case Rep. 2010 Dec 17;4:407. doi: 10.1186/1752-1947-4-407.
Cholesteatoma is a relatively common disease within the middle ear cavity, but rarely it manifests in the paranasal sinuses. There is, to the best of our knowledge, only one other published case of cholesteatoma inside the concha bullosa in the English language literature.
An 81-year-old Caucasian woman was admitted to our hospital complaining of nasal obstruction, headache and diplopia. After endoscopic and radiological evaluation a transnasal endoscopic approach was chosen. The diagnosis of cholesteatoma was established by histopathological evaluation of the mass inside the concha bullosa.
Although it is rarely seen, cholesteatoma should be considered in the differential diagnosis of slow-growing and destructive paranasal masses.
胆脂瘤是中耳腔内相对常见的疾病，但极少在鼻窦中出现。据我们所知，英文文献中仅有另外一例关于泡状鼻甲内胆脂瘤的报道。
一名81岁的白种女性因鼻塞、头痛和复视入院。经过内镜和影像学评估后，选择了经鼻内镜手术方法。通过对泡状鼻甲内肿物进行组织病理学评估确诊为胆脂瘤。
尽管胆脂瘤罕见，但在生长缓慢且具有破坏性的鼻窦肿物鉴别诊断中应考虑到该病。
