MIDDLE EAR CHOLESTEATOMA OTITIS AFTER GROMMET INSERTION

Abstract

Objective. Presenting a rare case of middle ear cholesteatoma, possible as a result of grommet insertion. The disease occured a few months after tympanostomy tube spontaneous extrusion. The Shepard tube was used to manage suppurative recurrent otitis media persisting after adenoidectomy. Material, method. Otoscopic examination of the eardrum, mastoidectomy, cartilage graft miringoplasty. Results. The patient needed surgery for removal of cholesteatoma from the middle ear and tympanic membrane reconstruction using tragal cartilage with pericondrium. Conclusions. Cholesteatoma can occur after tympanostomy tube insertion. Its incidence is very low but it should be presented as a possible complication to the patient. Precise technique for grommet insertion could prevent the disease.

Keywords

• middle ear cholesteatoma
• otitis
• tympanoplasty
• grommet