Giant cholesteatoma of the petrous portion of the temporal bone
A.A. NOVOZHILOV1, A.V. SHAKHOV1,2, M.N. VELICHKO1, T.E. ABUBAKIROV1, T.Ph. GAYAZOV1
1Volga District Medical Centre of the Federal Medical and Biological Agency (FMBA), 2 Nizhne-Volzhskaya naberezhnaya St., Nizhny Novgorod, Russian Federation, 603001
2Nizhny Novgorod State Medical Academy, 10/1 Minin and Pozharskiy St., Nizhny Novgorod, Russian Federation, 603950
Novozhilov A.A. — head of ENT-department, tel. +7-950-368-18-20, e-mail: lor@pomc.ru
Shakhov A.V. — Dr. Med. Sc., Professor, Head of Otorhinolaryngologic Department, tel. +7-951-905-02-86, e-mail: shakhov@semashko.nnov.ru
Velichko M.N. — otoneurologist, tel. +7-910-384-50-51, e-mail: lor@pomc.ru
Abubakirov T.E. — otorhynolaryngologist, tel. +7-910-794-60-11, e-mail: lor@pomc.ru
Gayazov T.PH. — audiologist, tel. +7-951-915-13-36, e-mail: surdolog@pomc.ru
A clinical case of chronic suppurative otitis media, accompanied by the formation of giant cholesteatoma is described. In the article is drawn attention to the importance of a diagnostic search and possibilities of modern examination techniques in the course of differential diagnosis of middle ear diseases. The data of preoperative examination are represented, surgical measures are described and surgical wound images are presented. A case of postoperative complication, characteristics of the neurological status of the patient, compilation management are described.
Key words: chronic suppurative otitis media, cholesteatoma, facial nerve palsy, cerebrovascular disturbance.
REFERENCES
- Ivoylov A.Yu. Khronicheskiy gnoynyy sredniy otit: sovremennye predstavleniya o patogeneze, diagnostike, lechenii i profilaktike: avtoref. dis. … kand. med. nauk [Chronic suppurative otitis media: current understanding of the pathogenesis, diagnosis, treatment and prevention. Synopsis of dis. PhD med. sciences]. Moscow, 2009. 283 p.
- Kryukov A.I. et al. Pokazateli zabolevaemosti i kachestvo okazaniya ambulatornoy LOR-pomoshchi bol’nym s patologiey ukha i verkhnikh dykhatel’nykh putey v gorode Moskve: Materialyly VII nauchno-prakticheskoy konferentsii «Farmakologicheskie i fizicheskie metody lecheniya v otorinolaringologii» [Incidence and quality of outpatient ENT care for patients with disorders of the ear and upper respiratory tract in Moscow: Materialyly VII scientific-practical conference “The pharmacological and physical therapies in ENT”]. Moscow, 2008. Pp. 10-13.
- Nugumanov A.A., Nugumanov A.Ya Reconstructive surgery of chronic suppurative otitis media. Rossiyskaya otorinolaringologiya, 2010, no. 6, pp. 45-51 (in Russ.).
- Rabia Shihada MD, Alexander Brodsky MD, Michal Luntz MD. Giant Cholesteatoma of the temporal bone. IMAJ, 2006, vol. 8, rr. 718-719.
- Danesi Giovani, Cooper Timothy, Panciera, Davide Thomas, Manni, Vito, Côté, David W.J. Sanna Classification and Prognosis of Cholesteatoma of the Petrous Part of the Temporal Bone: A Retrospective Series of 81 Patients. Otology & Neurotology, January 20, 2016.
- Vishnyakov V.V., Lezhnev D.A., Sarakueva A.R. Cone-beam computed tomography in the diagnosis of chronic suppurative otitis media. Vestnik otorinolaringologii, 2014, no. 1, pp. 52-54 (in Russ.).
- Migirov L., Wolf M., Greenberg G., Eyal A. Non-EPI DW MRI in Planning the Surgical Approach to Primary and Recurrent Cholesteatoma. Otology & Neurotology, January, 2014, vol. 35, issue 1, pp. 121-125.