Intratympanic Membrane Congenital Cholesteatoma Removal Using an Endoscopic System: A Case Report

Cheong, Taek Yoon; Jo, Yong Seok; Kim, Han Seong; Choi, Ick Soo; Lee, Jeon Mi

doi:10.1177/0145561318823319

Cited by 1 publication

(4 citation statements)

References 2 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in a systematic review by Ching et al ., 51% of patients with ITMC had no history of previous otitis media. They reported that ITMC could be congenital because most patients were young children, with a mean age of 3 years, and there was a significant positive correlation between patient age and ITMC size, indicating that the congenital cholesteatoma gradually grew over time [ 1 , 2 ]. Reports have suggested that the persistence of embryonic epithelial rests, which do not disappear after they contribute to tympanic membrane and tympanic ring development, could result in ITMC [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, invasion into the middle ear can be avoided [ 2 ]. Many reported cases of ITMC showed intact fibrous layer of the tympanic membrane and no middle ear invasion after enucleation of ITMC [ 1 , 2 , 5 – 7 ]. On the basis of these reports, surgical removal of ITMC may be delayed until 1 or 2 years of age [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…On the basis of a systematic review, most patients (93%) were treated with a transcanal approach [ 2 ]. Other studies reported using surgical removal with an endoscope [ 1 ], and carbon dioxide laser enabled ablation and resection without any endaural incision [ 10 ]. Recurrence of congenital ITMC is reported less frequently than middle ear cholesteatoma recurrence [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Congenital cholesteatoma in the middle ear is commonly observed in children [ 1 ]. However, cholesteatoma in the tympanic membrane is rare [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Intratympanic membrane cholesteatoma after traumatic tympanic membrane perforation: a case report

Jeong

Choi

2023

J Med Case Reports

View full text Add to dashboard Cite

Background Intratympanic membrane cholesteatoma presents as an asymptomatic, white, round mass on the tympanic membrane, and is usually detected incidentally in children. Case presentation A 12-year-old Korean boy visited our otorhinolaryngology clinic for a whitish mass on the right tympanic membrane. He had a history of traumatic tympanic membrane perforation in the right ear that had occurred 1 year prior, which had healed well with a paper patch placement. The mass was completely removed under local anesthesia during surgery with a microscope. The mass was on the outer epithelial layer of the right tympanic membrane and did not invade the middle fibrous and inner mucosal layers. Cholesteatoma was diagnosed on the basis of histopathology. Conclusion Intratympanic membrane cholesteatoma may not induce symptoms or invade the middle ear because it can grow outwards into the external auditory canal. However, intratympanic membrane cholesteatoma can grow over time, and then after growth, it can compress the tympanic membrane and advance into the middle ear, which can cause symptoms such as hearing loss. Intratympanic membrane cholesteatoma in children should be carefully evaluated and followed, and surgical removal should be considered, even for asymptomatic cases, to minimize potential damage and hearing loss.

show abstract

Section: Discussionmentioning

confidence: 99%