Recurrent cholesteatoma with massive extension to temporoparietal scalp: case report and literature review

Ann Otol Rhinol Laryngol. 2014 Nov;123(11):754-7. doi: 10.1177/0003489414538402. Epub 2014 Jun 18.

Abstract

Background: Cholesteatomas are locally destructive collections of epithelial debris arising from temporal bone squamous epithelium. Recurrences may occur after removal and are typically located within the temporal bone.

Objective: This study aimed to report a case of a massive, recurrent cholesteatoma with extension to temporoparietal scalp in a 37-year-old woman.

Methods: Case report with literature review.

Results: The patient underwent complete excision of a well-circumscribed left temporal mass, intraoperatively identified to arise from the middle ear and to contain keratin debris.

Conclusion: We report a case of recurrent cholesteatoma with massive extension to temporoparietal scalp. Clinical suspicion of recurrent cholesteatoma should remain in the differential diagnosis of temporal mass with prior history of cholesteatoma.

Keywords: head and neck mass; recurrent cholesteatoma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cholesteatoma, Middle Ear / pathology
  • Cholesteatoma, Middle Ear / surgery*
  • Female
  • Hearing Loss / etiology
  • Hearing Loss / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Parietal Bone
  • Recurrence
  • Scalp / pathology
  • Scalp / surgery*
  • Subcutaneous Tissue / surgery
  • Temporal Bone