MULIIPLE MALFORMATIONS OF MIDDLE EAR WITH INFECTED CHOLESTATOMA
V. Ciuchi, L. David
ENT Clinic, Central Military Hospital
Bucharest, Romania
Case report of a cholesteatoma complicated with facial palsy, subdigastric abscess and labyrinthic syndrome
Two common features usually characterize congenital malformations of middle ear following an abnormal evolution of first or second branchial arch:
- Complete absence of one or more than one essential anatomic landmarks of middle ear
- An abnormal course of facial nerve in its timpanic and/or mastoidian segment
Coexistence of an infected cholesteatoma complicated with regional septic dissemination that demands an immediate surgical solution constrains the surgeon to approach such a case prepared to discover these anomalies during surgery and adjust consequently surgical technique.
A case of infected cholesteatoma complicated with facial palsy, subdigastric abscess and labyrinthine syndrome is presented. Authors describe intraoperative findings, surgical technique, postoperative result, and long time result after a follow-up period of two years.