The use of parietotemporal fascia flap in the treatment of recurrent cholesteatoma: clinical case

Cholesteatoma consists of an inflmmatory process that results in the migration of squamous keratinized epithelium into the middle ear. Although regarded as a histopathologically benign entity it can behave quite aggressively being an important cause of deafness in all countries. Ear discharge, pain,...

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Bibliographic Details
Published in:Revista Brasileira de cirurgia plástica 2022-03, Vol.37 (1), p.100-104
Main Authors: João Baltazar Ferreira, Carla Brandão, Rita Meireles, Mário Jorge Freire Santos
Format: Article
Language:English
Subjects:
cholesteatoma
mastoidectomy
middle ear
middle ear, surgery
reconstructive surgical procedures
surgical flaps
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Summary:Cholesteatoma consists of an inflmmatory process that results in the migration of squamous keratinized epithelium into the middle ear. Although regarded as a histopathologically benign entity it can behave quite aggressively being an important cause of deafness in all countries. Ear discharge, pain, ear drum rupture with extension into the inner ear leading to deafness and vertigo, are the most common clinical manifestations. Treatment consists of surgically excising all the foreign epithelium from the middle ear. Recurrences can be as high as 50% and are a challenge to Ear, Nose and Throat doctors. In this case report we describe a case of an acquired recurrent cholesteatoma in a tertiary hospital in Portugal, treated with radical ablation of middle ear and mastoid cavity by the otolaryngologists. The chosen reconstructive option was obliteration of the dead space using a temporo-parietal fascial flap by the Plastic Surgery Department
ISSN:1983-5175
2177-1235
DOI:10.5935/2177-1235.2022RBCP0017