Introduction: Congenital cholesteatoma of the middle ear is un uncommon and yet not well-defined disease. Only few cases of cholesteatoma in thefossa ovalis with unusual clinical presentation have been reported in medical literature.
Case Report: We reported a 16-year-old girl with congenital cholesteatoma in the fossa ovalis with minimal clinical presentation. A small mass was found occluding the fossa ovalis and mimicking otosclerotic process within tympanic cavity. The operation started as stapedotomy, and when the process was confirmed it converted to mastoidectomy via the retroauricular approach.
Conclusion: The diagnosis of congenital cholesteatoma in children should always be considered, even if the clinical symptoms imitate other ear disorders, in our case otosclerosis.
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Article Synopsis
- First branchial cleft anomalies (FBCAs) are rare congenital disorders that can cause variable symptoms and complex anatomical issues, often misdiagnosed as other conditions like cholesteatoma.
- A 4-year-old girl presented with a painless mass in her left ear, leading to a thorough diagnostic process involving multiple imaging techniques that confirmed an FBCA.
- Surgical intervention to resect the fistula was successful, with no postoperative complications or recurrence, emphasizing the need for precise diagnosis and treatment in such cases.
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