External Auditory Canal Cholesteatoma Causing Simultaneous Bezold Abscess and Sinus Thrombosis.

Abstract

Extra- and intracranial complications of cholesteatoma are rare in the new era of antibiotics. The rarity of the severe complications and the atypical symptoms cause difficulties to set up proper diagnosis and treatment. We report about a 76-year old patient with external auditory canal cholesteatoma causing Bezold abscess and sigmoid sinus thrombosis. The patient underwent canal wall up mastoidectomy and mastoid obliteration with abdominal fat and Bezold abscess drainage. Systemic antibiotic and anticoagulant therapy were applied. The treatment resulted in fast improvement in the general condition of the patient, and the control magnetic resonance imaging (MRI) showed no recurrence of the disease. Laryngoscope, 131:E1282-E1285, 2021.

• Authors: Gabor Polony, László Tamás, Nóra Kecskeméti
• Journal: The Laryngoscope (Laryngoscope) Vol. 131 Issue 4 Pg. E1282-E1285 (04 2021) ISSN: 1531-4995 [Electronic] United States
• PMID: 33030245 (Publication Type: Case Reports)
• Copyright: @ 2020 The American Laryngological, Rhinological and Otological Society, Inc.

Chemical References

• Anti-Bacterial Agents

Topics

• Abscess (diagnostic imaging, etiology, surgery)
• Aged
• Anti-Bacterial Agents (therapeutic use)
• Cerebrospinal Fluid Otorrhea
• Cholesteatoma (complications, pathology)
• Ear Canal (diagnostic imaging, pathology, surgery)
• Female
• Headache
• Humans
• Mastoid (pathology)
• Sinus Thrombosis, Intracranial (diagnostic imaging, etiology, surgery)