Department of Otolaryngology-Head and Neck Surgery, 65416Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, South Korea.
Ear Nose Throat J. 2022 Dec;101(10):677-679. doi: 10.1177/0145561320969249. Epub 2020 Dec 14.
Congenital cholesteatoma is a whitish mass in the middle ear medial to an intact tympanic membrane. It is often without symptoms and therefore incidentally diagnosed. Pediatric congenital cholesteatoma generally starts as a small pearl-like mass in the middle ear cavity that eventually expands to involve the ossicles, epitympanum, and mastoid. The location, size, histopathological type, and extent of the mass must be evaluated to select the appropriate surgical method. Although microscopic ear surgery has traditionally been performed to remove congenital cholesteatoma, a recently introduced alternative is endoscopic surgery, which allows a minimally invasive approach and has better visualization. Here, we report the first known case of a patient with congenital cholesteatoma in the anterior epitympanic recess and discuss the utility of an endoscopic approach in the removal of a congenital cholesteatoma in the hidden area within the middle ear.
先天性胆脂瘤是一种位于完整鼓膜内侧中耳的白色团块。它通常没有症状，因此是偶然诊断出来的。小儿先天性胆脂瘤通常开始时是中耳腔内的一个小珍珠状肿块，最终会扩大到累及听小骨、上鼓室和乳突。必须评估肿块的位置、大小、组织病理学类型和范围，以选择合适的手术方法。虽然传统上采用显微镜下耳科手术切除先天性胆脂瘤，但最近引入了一种替代方法，即内窥镜手术，这种方法允许进行微创，并且具有更好的可视化效果。在这里，我们报告了首例患者在前上鼓室隐窝先天性胆脂瘤病例，并讨论了在内镜下切除中耳隐匿区先天性胆脂瘤的应用价值。
