Intratympanic membrane cholesteatoma after traumatic tympanic membrane perforation: a case report
Abstract Background Intratympanic membrane cholesteatoma presents as an asymptomatic, white, round mass on the tympanic membrane, and is usually detected incidentally in children. Case presentation A 12-year-old Korean boy visited our otorhinolaryngology clinic for a whitish mass on the right tympan...
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-03757-9 |
| _version_ | 1797864654106525696 |
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| author | Junhui Jeong Hyun Seung Choi |
| author_facet | Junhui Jeong Hyun Seung Choi |
| author_sort | Junhui Jeong |
| collection | DOAJ |
| description | Abstract Background Intratympanic membrane cholesteatoma presents as an asymptomatic, white, round mass on the tympanic membrane, and is usually detected incidentally in children. Case presentation A 12-year-old Korean boy visited our otorhinolaryngology clinic for a whitish mass on the right tympanic membrane. He had a history of traumatic tympanic membrane perforation in the right ear that had occurred 1 year prior, which had healed well with a paper patch placement. The mass was completely removed under local anesthesia during surgery with a microscope. The mass was on the outer epithelial layer of the right tympanic membrane and did not invade the middle fibrous and inner mucosal layers. Cholesteatoma was diagnosed on the basis of histopathology. Conclusion Intratympanic membrane cholesteatoma may not induce symptoms or invade the middle ear because it can grow outwards into the external auditory canal. However, intratympanic membrane cholesteatoma can grow over time, and then after growth, it can compress the tympanic membrane and advance into the middle ear, which can cause symptoms such as hearing loss. Intratympanic membrane cholesteatoma in children should be carefully evaluated and followed, and surgical removal should be considered, even for asymptomatic cases, to minimize potential damage and hearing loss. |
| first_indexed | 2024-04-09T22:55:23Z |
| format | Article |
| id | doaj.art-b8c88f316f0b495b9e1d6917aa1a6287 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-09T22:55:23Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-b8c88f316f0b495b9e1d6917aa1a62872023-03-22T11:19:21ZengBMCJournal of Medical Case Reports1752-19472023-02-011711410.1186/s13256-023-03757-9Intratympanic membrane cholesteatoma after traumatic tympanic membrane perforation: a case reportJunhui Jeong0Hyun Seung Choi1Department of Otorhinolaryngology, National Health Insurance Service Ilsan HospitalDepartment of Otorhinolaryngology, National Health Insurance Service Ilsan HospitalAbstract Background Intratympanic membrane cholesteatoma presents as an asymptomatic, white, round mass on the tympanic membrane, and is usually detected incidentally in children. Case presentation A 12-year-old Korean boy visited our otorhinolaryngology clinic for a whitish mass on the right tympanic membrane. He had a history of traumatic tympanic membrane perforation in the right ear that had occurred 1 year prior, which had healed well with a paper patch placement. The mass was completely removed under local anesthesia during surgery with a microscope. The mass was on the outer epithelial layer of the right tympanic membrane and did not invade the middle fibrous and inner mucosal layers. Cholesteatoma was diagnosed on the basis of histopathology. Conclusion Intratympanic membrane cholesteatoma may not induce symptoms or invade the middle ear because it can grow outwards into the external auditory canal. However, intratympanic membrane cholesteatoma can grow over time, and then after growth, it can compress the tympanic membrane and advance into the middle ear, which can cause symptoms such as hearing loss. Intratympanic membrane cholesteatoma in children should be carefully evaluated and followed, and surgical removal should be considered, even for asymptomatic cases, to minimize potential damage and hearing loss.https://doi.org/10.1186/s13256-023-03757-9CholesteatomaIntratympanic membrane cholesteatomaTympanic membraneTympanic membrane perforation |
| spellingShingle | Junhui Jeong Hyun Seung Choi Intratympanic membrane cholesteatoma after traumatic tympanic membrane perforation: a case report Journal of Medical Case Reports Cholesteatoma Intratympanic membrane cholesteatoma Tympanic membrane Tympanic membrane perforation |
| title | Intratympanic membrane cholesteatoma after traumatic tympanic membrane perforation: a case report |
| title_full | Intratympanic membrane cholesteatoma after traumatic tympanic membrane perforation: a case report |
| title_fullStr | Intratympanic membrane cholesteatoma after traumatic tympanic membrane perforation: a case report |
| title_full_unstemmed | Intratympanic membrane cholesteatoma after traumatic tympanic membrane perforation: a case report |
| title_short | Intratympanic membrane cholesteatoma after traumatic tympanic membrane perforation: a case report |
| title_sort | intratympanic membrane cholesteatoma after traumatic tympanic membrane perforation a case report |
| topic | Cholesteatoma Intratympanic membrane cholesteatoma Tympanic membrane Tympanic membrane perforation |
| url | https://doi.org/10.1186/s13256-023-03757-9 |
| work_keys_str_mv | AT junhuijeong intratympanicmembranecholesteatomaaftertraumatictympanicmembraneperforationacasereport AT hyunseungchoi intratympanicmembranecholesteatomaaftertraumatictympanicmembraneperforationacasereport |