Congenital cholesteatoma associated with blue eardrum.
The classic presentation of congenital cholesteatoma is a pearl behind the anterior-superior quadrant of an intact tympanic membrane. Idiopathic hemotympanum is characterized by a dark blue eardrum, the most prominent feature of which is the presence of cholesterol granulomas. Blue eardrum is associated with eustachian tube dysfunction. Despite the well-established relationship between eustachian tube dysfunction and the development of pediatric cholesteatoma, little has been written concerning the appropriate timing of tympanostomy tube placement. To date, there are no reports of congenital cholesteatoma associated with blue eardrum. A recent case of advanced congenital cholesteatoma (stage IV) associated with blue eardrum was treated using preoperative tympanostomy tube insertion. Tympanostomy tubes were helpful in preventing recurrence of the cholesteatoma after surgery. The case is presented along with a review of the literature.
Jang
Chul Ho
CH
Department of Otolaryngology, Chonnam National University Medical School, Gwangju, South Korea. chulsavio@hanmail.net
Cho
Yong-Bum
YB
Kim
Young Ho
YH
Wang
Pa-Chun
PC
D000293:Adolescent; D018424:Cholesteatoma, Middle Ear / Q000151:congenital* / Q000473:pathology* / Q000601:surgery; D002784:Cholesterol / Q000378:metabolism; D004432:Ear, Middle / Q000473:pathology* / Q000601:surgery; D006099:Granuloma / Q000151:congenital* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008876:Middle Ear Ventilation; D016896:Treatment Outcome; D014432:Tympanic Membrane / Q000378:metabolism / Q000473:pathology*; D014433:Tympanoplasty
D002784:Cholesterol