Clinical Presentation of Cholesteatoma- A Study of 50 Cases

Authors

  • Md Ahsanuzzaman Khan Classified Specialist in Otolaryngology and Head-Neck Surgery, CMH, Dhaka
  • AKM Asaduzzaman Classified Specialist in Otolaryngology and Head-Neck Surgery, CMH, Dhaka
  • Md Tauhidul Islam Classified Specialist in Otolaryngology and Head-Neck Surgery, CMH, Dhaka
  • Bashir Ahmed Classified Specialist in Otolaryngology and Head-Neck Surgery, CMH, Dhaka
  • Mohammad Kamal Hossain Classified Specialist in Otolaryngology and Head-Neck Surgery, CMH, Dhaka
  • Mohammad Misbah Al Kabir Sumon Classified Specialist in Otolaryngology and Head-Neck Surgery, CMH, Momenshahi
  • Sarder Mohammad Golam Rabbani Classified Specialist in Otolaryngology and Head-Neck Surgery, Adhoc CMH, Ramu

DOI:

https://doi.org/10.3329/jafmc.v13i1.41032

Keywords:

Cholesteatoma, Neoplastic lesion, Clinical presentation, Complications, Socio-demographic pattern

Abstract

Introduction: Cholesteatoma is an abnormal accumulation of keratin-producing squamous epithelium in the middle ear, epitympanum, mastoid or petrous apex. It is a threedimensional epidermoid structure exhibiting independent growth, replacing middle ear mucosa, resorbing and replacing underlying bone. Although it is not a neoplastic lesion, it can be insidious and potentially dangerous to the patient.

Objective: To find out the socio-demographic pattern, clinical presentation and complication of cholesteatoma.

Materials and Methods: This prospective study of 50 cases was done in the Department of Otolaryngology and Head-Neck surgery, CMH, Dhaka adopting simple random sampling technique from July 2008 to Dec 2009. Data were collected by personal interview and clinical examination in a pre-designed data sheet and were analyzed by SPSS 20.

Results: In this study, the highest number of patients (44%) was in the age group 11-20 years with a mean age of 17.2 years. Male were more affected (70%) and the male to female ratio was 2.33:1. Commonest symptom was otorrhoea (100%), followed by hearing impairment (80%), otalgia (16%), postauricular painful swelling (12%) and postauricular discharging sinus (10%). Extracranial complications were in 26% and intracranial complications in 12% of patients in this series. Abscess (temporal lobe + extra dural) were found in 02 cases (10%) by CT scan. A maximum number of patients had moderate conductive deafness (74.47%) followed by mild conductive deafness (19.15%) and only a few with severely mixed deafness (6.38%).

Conclusion: Clinical presentation of cholesteatoma in this study was discharge and deafness. The discharge was thick purulent foul smelling, scanty, occasionally blood-stained. Grave intracranial complications in children developed because of illiteracy, poverty, lack of awareness and medical facilities mostly in the rural areas. So early diagnosis and prompt treatment was a necessity.

Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 66-70

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Published

2017-04-21

How to Cite

Khan, M. A., Asaduzzaman, A., Islam, M. T., Ahmed, B., Hossain, M. K., Sumon, M. M. A. K., & Rabbani, S. M. G. (2017). Clinical Presentation of Cholesteatoma- A Study of 50 Cases. Journal of Armed Forces Medical College, Bangladesh, 13(1), 66–70. https://doi.org/10.3329/jafmc.v13i1.41032

Issue

Vol. 13 No. 1 (2017)

Section

Original Papers

License

Submission of a manuscript for publication implies the transfer of the copyright from the author to the publisher upon acceptance. Accepted manuscripts become the permanent property of the Journal of Armed Forces Medical College and may not be reproduced by any means in whole or in part without the written consent of the publisher.