An Extensive Cholesteatoma with Bezold’s Abscess
ABSTRACT
Cholesteatoma has been known to be associated with multiple complications either extracranially or intracranially. Among the extracranial complications, mastoiditis and mastoid abscess are the most common. Bezold’s abscess formation with cholesteatoma is a rare occurrence but when present can lead to sinister sequalae if not properly managed. The treatment of cholesteatoma is mainly by surgical exploration namely mastoidectomy. The aim of treatment is to eradicate the diseased mastoid and to prevent subsequent complications. Beside surgical intervention, the patient will also require intensive systemic and topical antibiotic therapy. With proper treatment patient will be hindered from experiencing unwanted complications.
Cholesteatoma has been known to be associated with multiple complications either extracranially or intracranially. Among the extracranial complications, mastoiditis and mastoid abscess are the most common. Bezold’s abscess formation with cholesteatoma is a rare occurrence but when present can lead to sinister sequalae if not properly managed. The treatment of cholesteatoma is mainly by surgical exploration namely mastoidectomy. The aim of treatment is to eradicate the diseased mastoid and to prevent subsequent complications. Beside surgical intervention, the patient will also require intensive systemic and topical antibiotic therapy. With proper treatment patient will be hindered from experiencing unwanted complications.
Cite this paper
nullN. Lazim and A. Abdullah, "An Extensive Cholesteatoma with Bezold’s Abscess," International Journal of Clinical Medicine, Vol. 2 No. 3, 2011, pp. 292-294. doi: 10.4236/ijcm.2011.23049.
nullN. Lazim and A. Abdullah, "An Extensive Cholesteatoma with Bezold’s Abscess," International Journal of Clinical Medicine, Vol. 2 No. 3, 2011, pp. 292-294. doi: 10.4236/ijcm.2011.23049.
References
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[1] Mustaffa A, Heta A, Kastrati B, et al. Complication of chronic otitis media with cholesteatoma during a ten year period in Kosovo. Eur Arch Otorhinolaryngology. 2008; 265 : 1477-82. [2] Shiou- Yu Yeh, Po Wen Cheng. Concurrent intracranial and extracranial complications secondary to cholesteatoma: A case report. Otolaryngol Head and Neck Surg. 2003; 128: 163-164. [3] Uchida Y, Ueda H, Nakashima T. Bezold’s abscess arising with recurrent cholesteatoma 20 years after surgery: with a review of the 18 cases published in Japan since 1960. Auris Nasus Larynx. 2002; 29 (4); 375-8. [4] Mc Mullan B. Bezold’s abscess: A serious complication of otitis media. Journal of Paediatrics and Child Health. 2009; 45: 616-618. [5] Marioni G, Fillipis CD, Tregnaghi A, Ragona RM, Stafferi A. Bezold’s abscess in children: Case report and review in literature. International Journal of paediatric otorhinolaryngology. 2001; 61(2): 173-177. [6] Zappata P, Chi DH, Russel F. A unique case of Bezold’s abscess associated with multiple dural sinus thrombosis. Laryngoscope. 2001; 1944-1947. [7] Castillo M, Albernaz VS, Mukherji SK, Smith MM, Weissman JL. Imaging of Bezold’s Abscess. AJR. 1998; 171: 1491-1495.