Vol.95 No.5 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 95 No. 5 May 2002
Recurrent Cholesteatoma with Jugular Foramen Syndrome;
A Case Report
Aya Nakagawa, Yasuo Mishiro, Yoshifumi Takahashi,
Hidehiko Okamoto and Takeshi Kubo
(Osaka University Graduate School of Medicine)
Kenji Mitani
(NTT West Japan Osaka Hospital)
A 35-year-old man who underwent canal down operation for a left middle ear cholesteatoma 30 years earlier, suffered from meningitis. He also developed hoarseness and dysphagia while he was hospitalized. CT and MRI scans showed a mass causing these syndromes. To control infection by
Pseudomonas aeruginosa and to confirm the focus of infection, we planned a two-stage operation. We first removed a part of the cholesteatoma and left a drainage tube.
After irrigation through the drainage tube and antibiotics therapy for two months, he underwent a second operation to remove the cholesteatoma completely without leakage cerebrospinal fluid.
Key words : cholesteatoma, jugular foramen, meningitis, labyrinthectomy, hearing preservation