Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (6): 12-15.doi: 10.6040/j.issn.1673-3770.0.2020.355

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Cholesteatoma of the external auditory canal complicated with suppurative parotitis: a case report and literature review

GUO Fang, ZHANG Dejun, FU Zeming, GUO Yingyuan, WAN Yining, GUAN Guofang   

  1. Department of Otolaryngology & Head and Neck Surgery, the Second Hospital of Jilin University, Changchun 130041, Jilin, China
  • Published:2021-01-11

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Abstract: Objective To investigate the etiology, diagnosis, and treatment of external auditory canal cholesteatoma complicated with suppurative parotitis and to review the relevant literature on external auditory canal cholesteatoma. Methods We retrospectively analyzed a case of patient with external auditory canal cholesteatoma complicated with suppurative parotitis who was admitted to our hospital. The patient presented with hearing loss in the left ear accompanied by otorrhea, as well as swelling and pain on the left side of the face. Temporal bone CT and ear canal MRI showed cholesteatoma formation in the left external auditory canal involving the mastoid process, tympanic cavity, tympanic sinus, parotid gland, and parapharyngeal space. The clinical diagnosis was external auditory canal cholesteatoma(left, Holt Ⅲ)and suppurative parotitis(left). The surgical methods used were cholesteatoma resection from the left external auditory canal, open radical mastoidectomy, tympanoplasty, artificial ossicular implantation, plasty of the cavity of auricular concha, removal of the parotid abscess, and repair of the parotid fistula. Results The cholesteatoma of the external auditory canal and middle ear and parotid abscess were completely removed, and the parotid fistula was repaired. Postoperative follow-up examinations showed that the patient recovered well without recurrence of the cholesteatoma or parotitis. Conclusion External auditory canal cholesteatoma has the potential to cause bone destruction. Cases of Holt phase Ⅲ cholesteatoma of the external auditory canal complicated by suppurative parotitis are rare and it is pivotal that the pathogenesis is understood and that individualized treatment plans are chosen according to the full lesion range.

Key words: External auditory canal, Cholesteatoma, Suppurative parotitis, Staging, Otologic Surgical Procedures

CLC Number: 

  • R764
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