Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 2 Issue 12

External Auditory Canal Cholesteatoma - A Rare Disease

Kshitija Pathak* and Priti Hajare

Department of ENT and HNS, Jawaharlal Nehru Medical College, KLE Hospital, KAHER, Belagavi, Karnataka, India

*Corresponding Author: Kshitija Pathak, Department of ENT and HNS, Jawaharlal Nehru Medical College, KLE Hospital, KAHER, Belagavi, Karnataka, India.

Received: October 15, 2020; Published: November 18, 2020

×

Abstract

  Cholesteatomas of external auditory canal are a form of invasive keratitis characterised by accumulation of desquamated debris in the wall of canal. External ear canal cholesteatoma is a rare condition with an estimated incidence of 1.2 in 1,000. 63-year female presented to us with complaints of left ear pain and left ear discharge. Otoscopy was normal. Pure tone audiometry showed mild mixed hearing loss in left ear. Preoperative CT scan was done. It shows the defect in external auditory canal. Canal wall down mastoidectomy with type 3 tympanoplasty was performed. Cholesteatoma sac was seen and was removed completely. Histopathology confirmed diagnosis of cholesteatoma. Primary auditory canal cholesteatoma is the invasion of squamous tissue from ear into localised area of bony erosion. The aetiology is uncertain, but in some of the series primary auditory canal cholesteatoma is post-traumatic or postsurgical. Diagnosis is confirmed on CT scan. External canal cholesteatoma is a rare condition and it poses challenge in diagnosis as it can be missed easily.

Keywords: Cholesteatoma; Auditory Canal; HRCT; Histopathology

×

References

  1. PF Anthony and WP Anthony. “Surgical treatment of external auditory canal cholesteatoma”. Laryngoscope1 (1982): 70-75.
  2. HH Owen., et al. “Cholesteatoma of the external ear canal: etiological factors, symptoms and clinical findings in a series of 48 cases”. BMC Ear, Nose and Throat Disorders 6 (2006): 16.
  3. Toynbee J. “Specimens of molluscum contagiosum developed in the external auditory meatus”. Lond Med Gazzette 46 (1850): 811.
  4. RE Scholefield. “Cholesteatoma of the auditory canal caused by a bug”. The Lancet3659 (1893): 929.
  5. Werden R. “A Peculiar Form of Obstruction of the Auditory Meatus”. Archives of Ophthalmology and Otolaryngology 4: 261-266. 1874-1875.
  6. HH Owen., et al. “Cholesteatoma of the external ear canal: etiological factors, symptoms and clinical findings in a series of 48 cases”. BMC Ear, Nose and Throat Disorders 6 (2006): 16.
  7. Piepergerdes MC., et al. “Keratosis obturans and external auditory canal cholesteatoma”. Laryngoscope 3 (1980): 383-391.
  8. Naim R., et al. “Classification of the external auditory canal cholesteatoma”. Laryngoscope3 (2005): 455-460.
  9. Shin SH., et al. “Classification of external auditory canal cholesteatoma by computed tomography”. Clinical and Experimental Otorhinolaryngology 3 (2010): 24-26.
  10. M Tos. “Cholesteatoma of the external acoustic canal”. in Manual of Middle Ear Surgery of Surgery of the External Auditory 3 (1997): 205-209.
  11. JT Vrabec and G Chaljub. “External canal cholesteatoma”. American Journal of Otology5 (2000): 608-614.
  12. Leison Maharjan and Pabina Rayamajhi. “A Rare Case Report and Literature Review of External Auditory Canal Cholesteatoma with Circumferential Destruction of Canal Wall Exposing Facial Nerve (2017).
  13. Ashish Chawla. “CT features of external auditory canal cholesteatoma: A pictorial review”. Current Problems in Diagnostic Radiology6 (2015): 511-516.
  14. HO Kemppainen., et al. “Epidemiology and aetiology of middle ear cholesteatoma”. Acta Oto-Laryngologica5 (1999): 568-572.
  15. Farrior J. “Cholesteatoma of the external ear canal”. American Journal of Otolaryngology 11 (1990): 113-116.
×

Citation

Citation: Kshitija Pathak and Priti Hajare. “External Auditory Canal Cholesteatoma - A Rare Disease". Acta Scientific Otolaryngology 2.12 (2020): 12-15.




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US