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A Report of Two Unique Cases

Erik W. Kreutzer, MD; G. Bruce DeBlanc, MD

Arch Otolaryngol. 1982;108(5):320-323.

Abstract
• The osteolytic effect of inflamed cholesteatoma can result in destruction of the bony confines of the middle ear and mastoid. Although extramastoid extension of cholesteatoma is possible through this mechanism, it is rarely seen by the otolaryngologist. We present two cases of extra-aural spread of cholesteatoma. One case illustrates the necessity of a full neuroradiologic examination of patients with neurologic findings and cholesteatoma prior to exploration of the middle ear and mastoid.

(Arch Otolaryngol 1982;108:320-323)

Author Affiliations
From the University of Colorado Health Sciences Center, Denver (Dr Kreutzer); and the Department of Otolaryngology, Gallup (NM) Indian Medical Center (Dr DeBlanc).

Footnotes
Accepted for publication Aug 27, 1981.

Reprint requests to Department of Otolaryngology, University of Colorado Health Sciences Center, 4200 E Ninth Ave, B210, Denver, CO 80262 (Dr Kreutzer).

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