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- Title
Cholesteatoma Presenting with Post Auricular Abscess, is Drainage and Mastoidectomy at the Same Time or with Time Interval? (Case Report with Clinical Challenge).
- Authors
Abshirini, Hassan; Lotfinia, Mojtaba; Namazi, Mohmmad Javad; Rezasoltani, Mahsa; Eghbalnejad Mofrad, Amir Mohammad
- Abstract
Cholesteatoma is a destructive and expanding growth consisting of keratinizing squamous epithelium in the middle ear and/or mastoid process. The authors report a case of a 31-year-old man with chronic otitis media of his left ear for many years with a positive history of partial mastoidectomy in 10 years ago. His presentation was as follows: otorrhea as a funky pus from the left ear for 10 days, tenderness, Erythema, and fluctuation in the left posturicular ear and general appearance was ill and feverish. In The laboratory evaluation C-reactive protein (CRP) was 2+ and Erythrocyte sedimentation rate (ESR) was 55(mm/h) after that the Computed tomography scan (CT) was taken and incision and drainage of abases was done. Two weeks later mastoidectomy for cholesteatoma was done. We raised the case for discussing the time of cholesteatoma surgery and its time interval with cholesteatoma complication. And with the case, we can propose that if there is a definite time interval between the two surgeries due to the better field of surgery and reduce inflammation. So Second surgery was easier and less risky and with better results. We prepared the operating room for incision and derange.
- Subjects
CHOLESTEATOMA; MASTOIDECTOMY; MIDDLE ear; MASTOID process; BLOOD sedimentation
- Publication
Indian Journal of Forensic Medicine & Toxicology, 2019, Vol 13, Issue 3, p416
- ISSN
0973-9122
- Publication type
Article
- DOI
10.5958/0973-9130.2019.00234.2