ENT, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
ENT, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
BMJ Case Rep. 2021 Nov 29;14(11):e241160. doi: 10.1136/bcr-2020-241160.
Cholesteatoma is a non-neoplastic cystic lesion arising in the middle ear cleft with the propensity to spread and recur after surgery, but it is unusual to find cholesteatoma invading sternocleidomastoid muscle after 15 years of modified radical mastoidectomy and presenting as Bezold abscess. In this report, the authors highlight the fact that cholesteatoma recurrence if neglected can present as a Bezold abscess with the invasion of cholesteatoma from the mastoid tip into the sternocleidomastoid muscle. This requires complete excision of the cholesteatoma sac along with the surrounding soft tissue.
胆脂瘤是一种发生在中耳裂隙的非肿瘤性囊性病变，具有术后扩散和复发的倾向，但在 15 年后的改良乳突根治术后发现胆脂瘤侵犯胸锁乳突肌并表现为 Bezo ld 脓肿是不常见的。在本报告中，作者强调了一个事实，即胆脂瘤如果被忽视，可能会复发并表现为 Bezo ld 脓肿，胆脂瘤从乳突尖侵入胸锁乳突肌。这需要彻底切除胆脂瘤囊以及周围的软组织。
