Abstract PRIMARY cholesteatomas have been discussed recently in several papers,1-5 with the authors of one stating that they are probably not as rare as is generally assumed.2 The case presented here is of interest because it produced so few clinical signs even though it involved large areas of the sphenoid, temporal, and occipital bones, and because it was successfully marsupialized via a transsphenoidal approach. It is thought to have arisen in the petrous apex. Report of a Case This 18-year-old man was in good health until four months prior to his admission to the University of California Medical Center in San Francisco on June 8, 1965.In February 1965, he had developed diplopia, headaches, and numbness about the left side of his mouth. He was seen initially by his family physician who referred him to a neurosurgeon. Neurological examination at that time revealed a partial left sixth nerve palsy, References 1. Cawthorne, T.: Congenital Cholesteatoma , Arch Otolaryng 78:248-252, 1963.Crossref 2. Cawthorne, T., and Griffith, A.: Primary Cholesteatoma of the Temporal Bone , Arch Otolaryng 73:252-261, 1961.Crossref 3. Sheehy, J.L.: True Cholesteatoma , Arch Otolaryng 69:57-60, 1959.Crossref 4. Day, K.M.: A Primary Cholesteatoma of the Middle Ear , Ann Otol 64:161-163, 1955. 5. Derlacki, E.L., and Clemis, J.D.: Congenital Cholesteatoma of the Middle Ear and Mastoid , Ann Otol 74:706-727, 1965. 6. Cushing, H.: A Large Epidermal Cholesteatoma of the Parieto-Occipital Region Deforming the Left Hemisphere Without Cerebral Symptoms , Surg Gynec Obstet 34:557-566, 1922.
Archives of Otolaryngology – American Medical Association
Published: Jun 1, 1968
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