gms | German Medical Science

81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

12.05. - 16.05.2010, Wiesbaden

Incidence, expansion and treatment of external canal cholesteatoma

Meeting Abstract

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  • corresponding author presenting/speaker Stefan Leopold - HNO-Klinik AMEOS-Klinikum St. Salvator, Halberstadt, Germany
  • Jörg Langer - HNO-Klinik AMEOS-Klinikum St. Salvator, Halberstadt, Germany
  • Klaus Begall - HNO-Klinik AMEOS-Klinikum St. Salvator, Halberstadt, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno057

DOI: 10.3205/10hno057, URN: urn:nbn:de:0183-10hno0576

Veröffentlicht: 6. Juli 2010

© 2010 Leopold et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

External ear cholestatoma (EEC) is rare. For the development repeatetd inflammation, microtauma or previous ear surgery might be risk factors. They also can develop sponateously. A total of 25 patients with a EEC were treated between 2001 and november 2009 in the Department of Otolaryngology, AMEOS-Klinikum in Halberstadt. It's a retrospective case review. Twelve patients presented longstanding otorrhea retained squamous debris and cerumen. Twelve did not show any symptoms. One patient presented a lesion of the facial nerve. In seven patients we found a hyperplasia of the auditory meatal epithelium, one case bilateral. There were 18 patients with periosteitis, a destruction of the bony ear canal or a destruction of the adjacent anatomical structures. If we suspected a large distension we realized a computed tomography. During operation we found a destruction of the mastoid, an arrosion of the facial nerve canal or of the temporo-mandibular joint in 5 patients. The facial nerve palsy was declining after surgery. In one case we found a hearing loss after surgery. A recurens was not seen. EEC is rare. The main symptom is otorrhea. You can find a large destruction of the adjacent anatomical structures with possible facial nerve palsy. We propose an operation in any case.