A pearl in the ear: Intracranial complications of pediatric cholesteatomas. (January 2017)

• Record Type: Journal Article
• Authors: Basa, Krystyne; Levi, Jessica R.; Field, Erin; O'Reilly, Robert C.
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 92(2017:Jan.)
• Page Start: 171
• Page End: 175
• Publication Date: 2017-01
• Subjects: Sigmoid sinus -- Dural sinus thrombus -- Cholesteatoma -- Pediatric -- Lateral sinus thrombosis; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2016.11.009
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: A nine-year-old male had a cholesteatoma of the mastoid and middle ear found incidentally after myringotomy tube placement. Associated asymptomatic sigmoid plate dehiscence with sinus invasion or thrombosis and ossicular chain destruction complicated his case. He had canal wall down tympanomastoidectomy and was followed for 4.5 years. Disease recurrence necessitated revision. Our case highlights an unusual clinical presentation, possible complications, and the aggressive quality of a benign lesion common in the pediatric population. To our knowledge, this is the first report of an asymptomatic lateral sinus obstruction secondary to an invasive cholesteatoma in this population.