Adult-onset congenital cholesteatoma in the hypotympanum initially presenting as Bell's palsy: A case report.
| Autor: | Liao PS; Department of Otolaryngology Head and Neck Surgery, China Medical University Hospital, Taichung, Taiwan., Lan WC; Department of Otolaryngology Head and Neck Surgery, China Medical University Hospital, Taichung, Taiwan., Wang CY; Department of Otolaryngology Head and Neck Surgery, China Medical University Hospital, Taichung, Taiwan., Lin CD; Department of Otolaryngology Head and Neck Surgery, China Medical University Hospital, Taichung, Taiwan.; School of Medicine, China Medical University, Taichung, Taiwan., Aoh Y; Department of Neurology, China Medical University Hospital, Taichung, Taiwan. |
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| Jazyk: | angličtina |
| Zdroj: | Medicine [Medicine (Baltimore)] 2024 Mar 22; Vol. 103 (12), pp. e37511. |
| DOI: | 10.1097/MD.0000000000037511 |
| Abstrakt: | Introduction: Cholesteatoma is a rare disease characterized by the accumulation of keratinized squamous epithelial cells in the middle ear or mastoid cavity. Vertigo and facial palsy, which are rare complications, may indicate erosion into the semicircular canals or the fallopian canal. Patient Concerns: A 40-year-old woman presented to our clinic with progressive right-sided hearing loss over 5 years (primary concern). Approximately 10 years ago, the patient had developed acute right-sided facial weakness with no additional symptoms. A neurologist at another hospital had diagnosed her condition as Bell's palsy and treated it accordingly. Diagnosis: Adult-onset congenital cholesteatoma in the hypotympanum. Intervention: Combined endoscopic and microscopic removal of the cholesteatoma. Outcomes: Physical examination revealed slight improvement in right-sided peripheral facial palsy. Lesson: Routine eardrum examination is recommended for patients presenting with isolated peripheral facial palsy. If necessary, a patient should be referred to an otologist for further evaluation and treatment. Competing Interests: The authors have no funding and conflicts of interest to disclose. (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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