CONGENITAL CHOLESTEATOMA IN ADULTS
Keywords:
congenital cholesteatoma, surgical treatmentAbstract
Based on the results of practical observation of patients with congenital cholesteatoma, the authors point to a unique course of the disease and complications. The results of surgical treatment of two patients, aged 26 and 36 years, with congenital cholesteatoma of the middle ear are presented. In one of them, congenital cholesteatoma was isolated in the mastoid process, while in the second, the cholesteatoma was located in the tympanic cavity, which destroyed the facial nerve canal and labyrinth. It is concluded that otomicroscopy, MSCT, and MRI examination of the mammillary processes allow the diagnosis of congenital cholesteatoma. The development of congenital cholesteatoma requires urgent debridement. According to the authors, maximum debridement of the mastoid process should be performed alongside adequate comprehensive therapy. If facial nerve palsy, labyrinthitis, or intracranial complications are detected, immediate surgical intervention in the middle ear is necessary. Early detection of congenital cholesteatoma and comprehensive emergency intensive care are key to successful treatment.
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