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dc:titleCongenital cholesteatoma of mastoid origin : A multicenter case series
dc:creatorLjljana, Čvorović
dc:creatorDragoslava, Đerić
dc:creatorLjiljana, Vlaški
dc:creatorDragan, Dankuc
dc:creatorBaljošević, Ivan
dc:creatorLjubomir, Pavićević
dc:subjectcongenital cholesteatoma
dc:subjectotogenic meningitis
dc:subjectdural exposure
dc:subjectdelayed diagnosis
dc:subjectpediatric cholesteatoma
dc:subjectsurgical management
dc:descriptionBACKGROUND/AIM: The mastoid is the rarest site for the onset of congenital cholesteatoma (CC). The symptoms are atypical and minimal. The aim of this multicenter retrospective descriptive study was to define this extremely rare condition and its clinical presentation, diagnosis and management. METHODS: We analyzed data files for a 15-year period in 4 tertiary otology centers and discovered 6 patients with the diagnosis of CC of the mastoid. RESULTS: The clinical presentation of CC varied from incidental findings in patient to patient with otogenic meningitis. The most common findings during surgical procedures were mastoid cortex erosion, sigmoid plate dehiscence, dural exposure and external canal wall destruction. CONCLUSION: CC of mastoid origin tends to occur in adult patients probably because of minimal symptoms and the delayed diagnosis. It can exist for years in a nonaggressive state and develop to giant sizes. In children it is almost incidentally diagnosed. Early imaging is necessary in order to prevent serious complication.
dc:publisherMilitary Health Department, Ministry of Defance, Serbia
dc:date2014
dc:typeinfo:eu-repo/semantics/article
dc:typeinfo:eu-repo/semantics/publishedVersion
dc:identifierhttps://stomatoloskifakultet.rs/nauka/publikacija/935
dc:identifierDOI 10.2298/vsp120130005c
dc:identifierISSN 0042-8450
dc:sourceVojnosanitetski pregled 71(7): 619-622
dc:languageen
dc:rightsinfo:eu-repo/semantics/closedAccess
dc:rightsSva prava zadržana