Janardhan Nara, Nara Janardhan, Peram Indeevar, Palukuri Suresh, Chinta Arunkumar, Satna Kuldeep
Narayana Medical College, Chinthareddypalem, Nellore, 524002 AP India.
Indian J Otolaryngol Head Neck Surg. 2012 Mar;64(1):97-9. doi: 10.1007/s12070-011-0226-6. Epub 2011 Apr 11.
Congenital cholesteatoma is a rare entity. It may originate at various sites in the temporal bone, for example, in the petrous apex, the cerebellopontine angle, the middle ear cavity, the mastoid process or in the external auditory canal. The least common site being the mastoid process. Most common presentation is a retrotympanic pearly white mass with no previous history of ear discharge, perforation or any ear surgery. It can lead to various complications, both intracranial and extracranial, some of which may be life threatening. Bezold's abscess is an extracranial complication which is usually seen in children following acute otitis media with mastoiditis. Here we present a rare case of a 60 year old patient with congenital cholesteatoma complicating to Bezold's abscess. After necessary investigations patient underwent surgery for complete removal of cholesteatoma and the abscess drainage.
先天性胆脂瘤是一种罕见的病症。它可能起源于颞骨的不同部位，例如岩尖、桥小脑角、中耳腔、乳突或外耳道。最不常见的部位是乳突。最常见的表现是鼓膜后珍珠白色肿物，既往无耳流脓、穿孔或耳部手术史。它可导致多种颅内和颅外并发症，其中一些可能危及生命。贝佐尔德脓肿是一种颅外并发症，通常见于儿童急性中耳炎伴乳突炎之后。在此，我们报告一例罕见病例，一名60岁患者患有先天性胆脂瘤并发贝佐尔德脓肿。经过必要的检查后，患者接受了手术，以彻底切除胆脂瘤并引流脓肿。
