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Deep neck infection due to middle ear cholesteatoma: A case report of a rare complication
J Korean Skull Base Soc 2021;16(2):120-124
Published online September 30, 2021
© 2021 Korean Skull Base Society.

Jae Hong Han, Kyungil Jang, Se Hwan Hwang, Jae-Hyun Seo

Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea, College of Medicine, Seoul, Korea
Correspondence to: Jae-Hyun Seo
주소 : Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea, College of Medicine, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea
Tel : +82-2-2258-6210
Fax : +82-2-2258-1354
E-mail : revivalseo@catholic.ac.kr
Received August 21, 2021; Accepted September 15, 2021.
Abstract
A common cause of deep neck infection is an oral cavity problem. However, other causes should be excluded, such as chronic otitis media. We report a 41-year-old male with cholesteatoma complicated by chronic otitis media, lateral sinus thrombosis (LST), thrombophlebitis of the ipsilateral internal jugular vein and deep neck infection. This spread route was associated with the direction of gravity along the adjacent blood vessels. Here we describe in detail the origin and the extent of the diseases with thin-slice computed tomography scans, magnetic resonance images, and intraoperative findings. The findings included deep neck infection shown with multiple abscess pockets, and we concluded that otogenic LST caused by chronic otitis media and resulting segmental mural lysis of the infected internal jugular vein to be responsible for the development of deep neck abscess formation.
Keywords : Cholesteatoma, Otitis media, Neck, Infection, Lateral sinus thrombosis


September 2021, 16 (2)
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