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A case of mastoid cholesteatoma: Did it originate from attic retraction?
J Korean Skull Base Soc 2020;15(2):116-121
Published online October 31, 2020
© 2020 Korean Skull Base Society.

Dong-Hee Lee1,2, Min-Hyeong Lee1

1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea, Uijeongbu St. Mary’s Hospital, Uijeongbu, Korea
Correspondence to: Dong-Hee Lee
주소 : Department of Otorhinolaryngology- Head and Neck Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 271 Cheonbo-ro, Uijeongbu 11765, Korea
Tel : +82-31-820-3564
Fax : +82-31-847-0038
E-mail : leedh0814@catholic.ac.kr
Received September 15, 2019; Accepted April 25, 2020.
Abstract
Cholesteatoma is a cystic mass that is formed by the keratinizing squamous epithelium in the tympanic cavity and/or mastoid and subepithelial connective tissue and by the progressive accumulation of keratin debris. It is one of the morbid diseases that could be missed by otologists. Cholesteatoma only in the mastoid and not in the middle ear has been reported only rarely in the literature. Mastoid cholesteatoma may be absolutely asymptomatic, and the diagnosis can occur after an incidental finding on imaging, hence the diagnosis is often delayed. In delayed diagnosis cases, the most common symptoms are otalgia, dizziness, or unexplained unilateral hearing impairment. We present a case of a huge, destructive mastoid cholesteatoma in a 43-year-old male who complained of intermittent otalgia and presented with attic retraction. Because the cholesteatoma in the mastoid was not connected with attic retraction, it was very difficult to definitively conclude whether the lesion was congenital or acquired. However, we suggest that it was a primary acquired type.
Keywords : Otalgia, Cholesteatoma, Mastoid, Temporal bone


October 2020, 15 (2)
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