• Primitive cholesteatoma of external auditory canal (EAC) is very rare and little known disease. • There are no specific clinical symptoms which can lead to confusion with other EAC pathologies. • Its diagnosis is clinical, but in case of stenosis, evaluation requires very close radiological analysis. • The treatment is surgical and depends on the extent of the lesions.
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Bilateral primitive cholesteatoma of external auditory canal with congenital stenosis.
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July 2016
ENT-Neck and Face Surgery, Hospital August 20, 1953, University Hospital IBN ROCHD, Casablanca, Morocco.
• Primitive cholesteatoma of external auditory canal (EAC) is very rare and little known disease. • There are no specific clinical symptoms which can lead to confusion with other EAC pathologies. • Its diagnosis is clinical, but in case of stenosis, evaluation requires very close radiological analysis.
View Article and Find Full Text PDFPathology of the facial nerve.
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May 2008
Service de Radiologie I, Hôpital de Hautepierre, 67098 Strasbourg Cedex, France.
A good examination in facial nerve imaging (CT or MR imaging) depends on a good knowledge of anatomy. Two clinical situations must be considered: imaging of patients with or without facial palsy. CT and MR imaging are very useful when the symptoms are atypical or progressive: MR imaging gives very good information about the facial nerve inflammation but may also discover a schwannoma, a hemangioma, a meningioma, or a primitive or secondary cholesteatoma.
View Article and Find Full Text PDF[Intrapetrous cholesteatoma. A retrospective study of seven operated cases].
Rev Laryngol Otol Rhinol (Bord)
March 2007
CHU de Lomé, Maître-Assistant Chef de Clinique, Service d'ORL, BP 30 006 Lomé, Togo.
Introduction: Intrapetrous cholesteatoma can be recalled with regard of facial paralysis, mixed deafness, cholesteatoma visible under an otoscopy and some characteristic signs in imaging. Its treatment is a real dilemma between its complete exeresis and the preservation of the facial nerve.
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J Radiol
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Service de Radiologie, Hôpital de Hautepierre, avenue Molière, 67098 Strasbourg Cedex, France.
Otosclerosis is a primitive osteodystrophia of the labyrinthine bone. Its diagnosis must be confirmed by a CT scan in order to eliminate the other causes that may lead to conductive hearing loss with an absence of stapedial reflex: fixation of the head of the malleus to the lateral wall of the tympanic cavity, absence of the long process of the incus or stapes, gusher syndrome, primary cholesteatoma, or tympanic facial nerve neuroma blocking the stapes. Particular problems in otosclerosis must be clarified: an extension to the round window (poor postoperative results), and extension to the tympanic cavity blocking the malleus and/or the incus, the labyrinthine lumen, or the internal auditory meatus (very rare).
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Acta Otorhinolaryngol Ital
December 2001
Unità Operativa di Otorinolaringoiatria, A.C.O. San Filippo Neri, Roma.
Recently, a recrudescence of tuberculosis (TBC) as been found, even in Western world and in Italy, most likely in relation to the increase in immigration from developing countries and to the pathologies that cause immunodepression. The present paper reports two cases of primitive TBC of the middle ear, both coming under observation for facial paralysis. These cases highlight the clinical-therapeutic features of this disease, the difficulty in diagnosis and the need to include TBC in the differential diagnosis of phlogistic processes of the middle ear.
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