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Cholesterol granuloma presenting as a mass obstructing the external ear canal

BACKGROUND: Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the external ear canal (EEC) is relatively rare and it can be a diagnostic challenge. CASE PRESENTATION: We report a case of a CG occupying the masto...

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Autores principales: Nikolaidis, Vasilios, Malliari, Hariklia, Psifidis, Dimosthenis, Metaxas, Spyridon
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2853487/
https://www.ncbi.nlm.nih.gov/pubmed/20367883
http://dx.doi.org/10.1186/1472-6815-10-4
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author Nikolaidis, Vasilios
Malliari, Hariklia
Psifidis, Dimosthenis
Metaxas, Spyridon
author_facet Nikolaidis, Vasilios
Malliari, Hariklia
Psifidis, Dimosthenis
Metaxas, Spyridon
author_sort Nikolaidis, Vasilios
collection PubMed
description BACKGROUND: Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the external ear canal (EEC) is relatively rare and it can be a diagnostic challenge. CASE PRESENTATION: We report a case of a CG occupying the mastoid antrum and presenting as a mass into the EEC. Temporal bone computerized tomography showed a soft tissue mass which eroded the posterior-superior bony wall of the EEC. On magnetic resonance imaging, the mass revealed a high signal on both T1 and T2-weighted images. The CG was removed by a mastoidectomy procedure and the histopathologic report confirmed the diagnosis of CG. A type III tympanoplasty was performed. CONCLUSIONS: The postoperative course was uneventful.
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spelling pubmed-28534872010-04-13 Cholesterol granuloma presenting as a mass obstructing the external ear canal Nikolaidis, Vasilios Malliari, Hariklia Psifidis, Dimosthenis Metaxas, Spyridon BMC Ear Nose Throat Disord Case report BACKGROUND: Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the external ear canal (EEC) is relatively rare and it can be a diagnostic challenge. CASE PRESENTATION: We report a case of a CG occupying the mastoid antrum and presenting as a mass into the EEC. Temporal bone computerized tomography showed a soft tissue mass which eroded the posterior-superior bony wall of the EEC. On magnetic resonance imaging, the mass revealed a high signal on both T1 and T2-weighted images. The CG was removed by a mastoidectomy procedure and the histopathologic report confirmed the diagnosis of CG. A type III tympanoplasty was performed. CONCLUSIONS: The postoperative course was uneventful. BioMed Central 2010-04-05 /pmc/articles/PMC2853487/ /pubmed/20367883 http://dx.doi.org/10.1186/1472-6815-10-4 Text en Copyright ©2010 Nikolaidis et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Nikolaidis, Vasilios
Malliari, Hariklia
Psifidis, Dimosthenis
Metaxas, Spyridon
Cholesterol granuloma presenting as a mass obstructing the external ear canal
title Cholesterol granuloma presenting as a mass obstructing the external ear canal
title_full Cholesterol granuloma presenting as a mass obstructing the external ear canal
title_fullStr Cholesterol granuloma presenting as a mass obstructing the external ear canal
title_full_unstemmed Cholesterol granuloma presenting as a mass obstructing the external ear canal
title_short Cholesterol granuloma presenting as a mass obstructing the external ear canal
title_sort cholesterol granuloma presenting as a mass obstructing the external ear canal
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2853487/
https://www.ncbi.nlm.nih.gov/pubmed/20367883
http://dx.doi.org/10.1186/1472-6815-10-4
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