Middle Ear Cholesteatoma: About 15 Cases Volume 7 - Issue 4

Lekassa P¹*, Miloundja J¹, Ella Ondo T², Manfoumbi Ngoma AB¹, Nzenze SAM¹, Atsame Gonzalves A¹, Mwanyombet L³ and Nzouba L¹

• ¹Department of ENT & CCF, Omar Bongo Ondimba Army Instruction Hospital, Gabon
• ²Department of Medical Imaging, Omar Bongo Ondimba Army Instruction Hospital, Gabon
• ³Department of Neurosurgery, Omar Bongo Ondimba Army Instruction Hospital, Gabon

Received: November 22, 2021;   Published: December 10, 2021

Corresponding author: Lekassa Pierrette, Department of ENT & CCF, Omar Bongo Ondimba Army Instruction Hospital, Gabon

DOI: 10.32474/SJO.2021.07.000272

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Abstract

Aim: Cholesteatoma of the middle ear is a particularly aggressive form of chronic otitis media. The objective of this work was to study the diagnostic, therapeutic and evolutionary aspects.
Materials and Method: This were a retrospective descriptive study conducted out in the ENT and CCF department of the HIAOBO from the files of patients hospitalized for surgery for middle ear cholesteatoma, between January 2006 and December 2019.
Results: Fifteen patients were selected, including 7 men (ratio = 0, 87). The average age was 28.53 years with the extremes of 8 and 77 years. There were 11 adults and 4 children. The circumstances of discovery were purulent otorrhea (7 cases), a complication (9 cases) including mastoiditis (4 cases), facial palsy (2 cases), cerebral abscess (1 case) and extra-Dural empyema associated with a cerebellar abscess (1 case). The interrogation found hypoacusis in all cases an earache (10 cases) and headache (4 cases). Otoscopy showed scales (7 cases), ACE polyp (4 cases), otorrhea (3 cases) and tympanic perforation of the shrapnel (1 case). CT scans of the rocks suggested the diagnosis in all patients. Tympanoplasty was performed using the closed (8 cases) and open (7 cases) technique. The associated procedures were drainage of abscesses and empyema (2 cases) and Ossiculoplasty (2 cases). The course was marked by the presence of a residual cholesteatoma (6 cases).
Conclusion: Cholesteatoma is a serious pathology that can engage the functional and vital prognosis. Its treatment is surgical.

Keywords: Cholesteatoma; middle ear; computed tomography; tympanoplasty

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