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Congenital Cholesteatoma Masquerading as an Ear Canal Tumor - Case Report

先天性膽脂瘤偽裝為外耳道腫瘤-病例報告

摘要


先天性膽脂瘤乃一不常見之疾病,可能引發嚴重併發症,如幼年聽力喪失或顏面神經麻痺。本文提出一先天性中耳膽脂瘤之病例報告。病患乃一名兩歲男童,診斷時並無任何症狀,聽力正常,惟理學檢查發現外耳道一皮下腫瘤,延伸至耳膜後方。經手術切除病灶,術後追蹤一年沒有復發跡象。此病例報告討論先天性膽脂瘤的臨床表徵、診斷、治療及術後追蹤治療。

並列摘要


Congenital cholesteatoma is an uncommon disease which can potentially lead to serious consequences such as loss of hearing in childhood or facial paralysis later on. We present a case of congenital cholesteatoma in a 2-year-old boy who was symptom-free at the time of diagnosis. The boy’s pediatrician in a routine physical examination detected a right ear canal tumor, and referred the patient to our outpatient clinic for further workup. Audiometric and imaging studies confirmed the presence of a soft tissue mass behind an intact tympanic membrane. Early surgical removal of the lesion in this case minimized the need for destructive surgical procedures, allowed easy postoperative care, and prevented hazardous sequelae of this congenital disease. Postoperative follow-up for one year was uneventful.

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