임상

전정파괴와 안면마비가 동반된 진주종성 중이염 1례

김영기1, 정우철1, 윤용주1
Young Ki Kim1, Woo Chul Jeong1, Yong Joo Yoon1
Author Information & Copyright
1전북대학교 의과대학 이비인후-두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Chonbuk National University, Chonju, Korea

© Copyright 1997 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

Aural cholesteatomas are epidermal inclusion cysts lined by a keratinizing squamous epithelium and have a tendency to destroy the surrounding bony structures. There are many theories of the pathogenesis of acquired cholesteatoma but up-to-date two of them are widely accepted, the invagination and invasion theory. Labyrinthine fistula is one of the most common complications of chronic otitis media(COM) with cholesteatoma and opening of the bony labyrinth often creates inner ear damage through the disturbance of the inner ear environment. Facial paralysis associated with COM may result from cholesteatomatous involvement of the fallopian canal. Cholesteatoma most commonly affects either the tympanic or second genu segments of the facial nerve. But extensive vestibular destruction and facial paralysis associated with COM with cholesteatoma are rare.

We have experienced a case of invasive cholesteatoma which causes vestibular destruction and facial paralysis. So, we report with review of literatures.

Keywords: Cholesteatoma; Vestibular destruction; Facial paralysis