PRACTICA OTO-RHINO-LARYNGOLOGICA

Vol. 95 No. May 2002


Recurrent Cholesteatoma with Jugular Foramen Syndrome;
A Case Report
                                                                               

Aya Nakagawa, Yasuo Mishiro, Yoshifumi Takahashi,
Hidehiko Okamoto and Takeshi Kubo                       
(Osaka University Graduate School of Medicine)

Kenji Mitani
(NTT West Japan Osaka Hospital)

       A 35-year-old man who underwent canal down operation for a left middle ear cholesteatoma 30 years earlier, suffered from meningitis. He also developed hoarseness and dysphagia while he was hospitalized. CT and MRI scans showed a mass causing these syndromes. To control infection by Pseudomonas aeruginosa and to confirm the focus of infection, we planned a two-stage operation. We first removed a part of the cholesteatoma and left a drainage tube.
      After irrigation through the drainage tube and antibiotics therapy for two months, he underwent a second operation to remove the cholesteatoma completely without leakage cerebrospinal fluid.

Key words : cholesteatoma, jugular foramen, meningitis, labyrinthectomy, hearing preservation

 


第95巻5号 目次   Vol.95 No.5 contents