Volume 131, Issue 4 pp. E1282-E1285
Case Report

External Auditory Canal Cholesteatoma Causing Simultaneous Bezold Abscess and Sinus Thrombosis

Gabor Polony MD, PhD

Corresponding Author

Gabor Polony MD, PhD

assistant professor

Department of Otorhinolaryngology, Head and Neck Surgery, Semmelweis University, Budapest, Hungary

Send correspondence to Gabor Polony, Szigony utca 36, 1083 Budapest, Hungary. Email: [email protected]

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László Tamás MD PhD

László Tamás MD PhD

Department of Otorhinolaryngology, Head and Neck Surgery, Semmelweis University, Budapest, Hungary

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Nóra Kecskeméti MD, PhD

Nóra Kecskeméti MD, PhD

Department of Otorhinolaryngology, Head and Neck Surgery, Semmelweis University, Budapest, Hungary

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First published: 08 October 2020

Editor's Note: This Manuscript was accepted for publication on September 16, 2020.

The study is in accordance with the ethical standards of the institutional ethical committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

All authors state that there are no conflicts of interest and none of them have any funding resources.

Abstract

Extra- and intracranial complications of cholesteatoma are rare in the new era of antibiotics. The rarity of the severe complications and the atypical symptoms cause difficulties to set up proper diagnosis and treatment. We report about a 76-year old patient with external auditory canal cholesteatoma causing Bezold abscess and sigmoid sinus thrombosis. The patient underwent canal wall up mastoidectomy and mastoid obliteration with abdominal fat and Bezold abscess drainage. Systemic antibiotic and anticoagulant therapy were applied. The treatment resulted in fast improvement in the general condition of the patient, and the control magnetic resonance imaging (MRI) showed no recurrence of the disease. Laryngoscope, 131:E1282–E1285, 2021

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