title: Cholesteatoma of the hypotympanum in a patient with Treacher Collins syndrome.
abstract: In the present article we report a cholesteatoma of the hypotympanum extending to the jugular foramen in a 16-year-old male with Treacher Collins syndrome. Preoperative imaging excluded jugular paraganglioma and set the diagnosis of cholesteatoma. We discuss the operative treatment via a large hypotympanotomy and creation of an open hypotympanic cavity. To the authors' knowledge this is the first description of hypotympanal cholesteatoma with such an extension, being treated through this approach.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, Building 102, 55131 Mainz, Germany.
authors.forename: Wolf
authors.initials: W
authors.lastname: Mann
authors.affiliation: Department of Oral-, Maxillofacial- and Plastic Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Augustusplatz 2, Building 901, 55131 Mainz, Germany.
authors.forename: Bilal
authors.initials: B
authors.lastname: Al-Nawas
authors.affiliation: Department of Orthodontics, University Medical Center of the Johannes Gutenberg University Mainz, Augustusplatz 2, Building 901, 55131 Mainz, Germany.
authors.forename: Susanne
authors.initials: S
authors.lastname: Wriedt
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, Building 102, 55131 Mainz, Germany.
authors.forename: Sophie
authors.initials: S
authors.lastname: Mann
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, Building 102, 55131 Mainz, Germany. Electronic address: dimitrios.koutsimpelas@unimedizin-mainz.de.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Koutsimpelas
mesh_terms: D000293:Adolescent; D018424:Cholesteatoma, Middle Ear / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004432:Ear, Middle / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008342:Mandibulofacial Dysostosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed
keywords: Cholesteatoma; Hypotympanum; Open cavity; Treacher Collins syndrome