Can a cholesteatoma have a late recidivism?
DOI:
https://doi.org/10.34631/sporl.2068Keywords:
Cholesteatoma, intracranial complications, recidivism, late recidivismAbstract
We report the case of a 73-year-old male patient with late recidivism of a middle year cholesteatoma, diagnosed 33 years after the first surgery. The patient presented with symptoms of otitis externa refractory to appropriate medical treatment and the suspicion of cholesteatoma arose based on the patient's clinical history. Computed tomography scan revealed a large soft-tissue lesion with an imminent intracranial complication. Magnetic resonance imaging confirmed the diagnosis of cholesteatoma. A subtotal petrosectomy with middle ear obliteration was performed for complete removal of the cholesteatoma. The main purpose of this case is to highlight the importance of lifetime follow-up after canal wall up surgery for chronic otitis media with cholesteatoma, in patients not submitted to diffusion weighted magnetic resonance imaging or second look surgery.References
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