Article

특발성 고실혈종

장철호1, 왕원기1, 이정헌1
Chul Ho Jang1, Won Ki Wang1, Jung Hun Lee1
Author Information & Copyright
1원광대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, Wonkwang University, College of Medicine

© Copyright 1992 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Idiopathic hemotympanum(blue drum) is a chronic condition in which the entire durm is of a distinct blue color and in which specific etiologic factors have been ruled out.

Idiopathic hemotympanum associated with cholesterol granuloma is a relatively uncommon condition in which there is a blue colored tympanic membrane due to a collection within the tympanum of sterile, viscid, chocolate-colored fluid derived from a cholesterol granuloma within the mastoid.

The pathogenesis is still controversial. Recently we experienced 13 cases of idiopathic hemotympanum. We treated the 10 cases using simple or complete mastoidectomy with transmastoid ventilation tube, steroid and middle ear ventilation via euctachian tube. Only ventilation tube insertion(3 cases) is inadequate. We represent our cases with the review of literatures and point out the importance of surgical intervention.

Keywords: Idiopathic hemotympanum; Simple or Complete mastoidectomy