PMID- 32947337
OWN - NLM
STAT- MEDLINE
DCOM- 20211203
LR  - 20211214
IS  - 1536-3732 (Electronic)
IS  - 1049-2275 (Linking)
VI  - 32
IP  - 4
DP  - 2021 Jun 1
TI  - Clinical Findings of Cholesteatoma Behind an Intact Tympanic Membrane in Adults.
PG  - e332-e334
LID - 10.1097/SCS.0000000000007080 [doi]
AB  - OBJECTIVE: The aim of this study was to describe the clinical features and 
      surgical results in a series of adult intact tympanic membrane cholesteatoma 
      (ITMC). MATERIALS AND METHODS: The author retrospectively analyzed 17 adult 
      patients diagnosed with ITMC who underwent surgery. The author investigated the 
      demographic data, presenting symptoms, endoscopic findings, disease location, 
      surgical technique, post-operative complications, and outcomes. RESULTS: 
      Diagnosis was made based on a white mass behind an intact tympanic membrane in 14 
      cases and on explorative surgery and CT in the remaining 3 patients. ITMC 
      presented as a cystic lesion with a complete capsule. ITMCs were removed through 
      an endoscopic endaural approach combined with cartilage myringoplasty in 14 cases 
      and intact canal wall mastoidectomy was performed in 3 cases. No recurrent 
      cholesteatoma or iatrogenic sensorineural hearing loss was observed during the 
      follow-up period. The mean ABG was 17.7 +/- 2.7 dB perioperatively and 
      10.2 +/- 1.3 dB postoperatively. CONCLUSIONS: Intact tympanic membrane 
      cholesteatoma in adults may have both congenital and acquired origins, but it is 
      not possible to differentiate between a slow growing acquired or indolent 
      congenital cholesteatoma. ITMC typically presents as a cystic lesion with a 
      complete capsule that can be treated successfully via an endoscopic tympanotomy 
      approach, but in a minority of cases a more extensive mastoidectomy may be 
      required.
CI  - Copyright (c) 2020 by Mutaz B. Habal, MD.
FAU - Lou, Zhengcai
AU  - Lou Z
AD  - Department of Otorhinolaryngology, Affiliated Yiwu Hospital of Wenzhou Medical 
      University (Yiwu Central Hospital), Yiwu City, Zhejiang Province, China.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Craniofac Surg
JT  - The Journal of craniofacial surgery
JID - 9010410
MH  - Adult
MH  - *Cholesteatoma
MH  - *Cholesteatoma, Middle Ear/surgery
MH  - Humans
MH  - Mastoidectomy
MH  - Middle Ear Ventilation
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Tympanic Membrane/surgery
COIS- The author reports no conflicts of interest.
EDAT- 2020/09/19 06:00
MHDA- 2021/12/15 06:00
CRDT- 2020/09/18 20:24
PHST- 2020/09/19 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2020/09/18 20:24 [entrez]
AID - 00001665-202106000-00103 [pii]
AID - 10.1097/SCS.0000000000007080 [doi]
PST - ppublish
SO  - J Craniofac Surg. 2021 Jun 1;32(4):e332-e334. doi: 10.1097/SCS.0000000000007080.