Korean J Otorhinolaryngol-Head Neck Surg.  2018 Dec;61(12):710-713. 10.3342/kjorl-hns.2017.00297.

Congenital Cholesteatoma of Mastoid Temporal Bone and Posterior Cranial Fossa Treated with Transmastoid Marsupialization

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, Korea. chulsavio@hanmail.net

Abstract

A congenital cholesteatoma is a benign mass formed from the keratinizing stratified squamous epithelium. It usually occurs in young children's anterosuperior part of the middle ear. A congenital cholesteatoma which originates from mastoid temporal bone or expands to posterior cranial fossa is rare. Standard treatment of an intracranial cholesteatoma is surgical removal with craniotomy. A 69-year-old woman was diagnosed with a congenital cholesteatoma of mastoid temporal bone that expanded to the posterior cranial fossa, which was successfully treated with transmastoid marsupialization without craniotomy. This is a first documented case of a congenital cholesteatoma of mastoid temporal bone that expanded to posterior cranial fossa, which was successfully treated with transmastoid marsupialization without craniotomy.

Keyword

Cholesteatoma; Epidermoid tumor; Occipital bone; Posterior cranial fossa; Temporal bone

MeSH Terms

Aged
Cholesteatoma*
Cranial Fossa, Posterior*
Craniotomy
Ear, Middle
Epithelium
Female
Humans
Mastoid*
Occipital Bone
Temporal Bone*
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