Congenital cholesteatoma of the petrous pyramid.
A congenital cholesteatoma arising from the petrous pyramid is rarely encountered, and we report a case of such a cholesteatoma in a 23-year-old male. This cholesteatoma was successfully removed by a middle cranial fossa approach. The cholesteatoma showed a unique mode of spread, that is, it originated from the pyramidal apex and extended in two directions: through the facial canal to the tympanic sinus, and along the tympanic tegmen to the mastoid antrum. We discuss the importance of CT and MRI for achieving a diagnosis, as well as the merits of using a middle cranial fossa approach for the surgical excision of this cholesteatoma.
Kikuchi
S
S
Department of Otolaryngology, Faculty of Medicine, University of Tokyo, Japan.
Yamasoba
T
T
Harada
T
T
Kitamura
K
K
Sasaki
T
T
D000328:Adult; D002781:Cholesteatoma / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D005158:Facial Paralysis / Q000209:etiology; D034381:Hearing Loss / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010579:Petrous Bone; D014057:Tomography, X-Ray Computed