PhD Scientific Days 2026

Poster Session 2.T - Surgical Medicine

Atypical presentation of congenital cholesteatoma in an adult patient – case report

Előadó neve

Dr. Karkó, Zsófia

Neptune code

I258KL

Előadó munkahelye

Semmelweis University Department of Otolaryngology, Head and Neck Surgery

Előadó telefonszáma

+36202253993

Előadó e-mail címe

karko.zsofia@semmelweis.hu

Az előadás címe

Atypical presentation of congenital cholesteatoma in an adult patient – case report

Szerző(k) neve és munkahelye

Dr. Karkó Zsófia¹, Dr. Gáborján Anita¹, Dr. Polony Gábor¹

1: Semmelweis University Department of Otolaryngology, Head and Neck Surgery

Bemutatás módja

Poszter

Szekció

Poster Session 2.T - Surgical Medicine

Language of the presentation

Hungarian

Preferred session

Surgical Medicine

Összefoglaló szövege

Congenital cholesteatoma is a keratinizing squamous epithelial, progressively enlarging cystic mass located medial to the tympanic membrane, presumed to be present at birth. It is typically diagnosed in infancy or childhood, with no history of otorrhea, perforation, or prior ear surgery.
Its incidence is 0.12 cases per 100,000 population, affecting males three times more frequently than females, with an average age at diagnosis of 5 years. It is less common than the acquired form, with congenital cases accounting for only 2–5% of all cholesteatomas.
The disease is typically asymptomatic or presents as conductive hearing loss. In advanced cases, it may cause ear pain, vertigo or facial palsy.
This report aims to present a rare manifestation of congenital cholesteatoma and its surgical management.
We present the case of a 34-year-old female patient with right-sided hearing loss persisting for 10 months., no history of prior ear surgery, otorrhea, dizziness, or facial palsy, intact tympanic membranes were observed bilaterally; on the right side, a whitish lesion was visible in the posterosuperior quadrant. Middle ear HRCT demonstrated bilaterally lesions typical of cholesteatoma with associated bone destruction.Right-sided ear surgery (ossiculoplasty and mastoidectomy) was performed first.
During tympanotomy, a cholesteatomatous epithelial sac was observed in the posterior mesotympanum and epitympanum, ossicular chain reconstruction was performed by placing a 2.5 mm Kurz TTP Variac Partial Ossicular Replacement Prosthesis (PORP) onto the head of the stapes.
The left-sided ear surgery (ossiculoplasty and atticoantrotomy) was performed three months later. A dorsally located obturating sclerotic plaque was identified; after its removal, the peripheral portion of a cholesteatoma extending toward the aditus became visible. For hearing reconstruction, a 2.25 mm Kurz TTP Variac PORP prosthesis was used.
Two distinct groups of congenital cholesteatoma can be distinguished.
The anteriorly located lesions are more common, smaller in size at the time of diagnosis, cystic ,affect hearing only after a longer duration, easier to remove associated with a better prognosis regarding residual disease. Posteriorly located lesions are larger at the time of diagnosis, more frequently associated with ossicular chain destruction, associated with a higher risk of residual disease.

University

Semmelweis University

Supervisor

Dr. Polony Gábor

Publication of my abstract

I do not give consent to the publication of my abstract on the website of the congress.

phd.section.field

in doctoral studies before complex exam (PhD)

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

9714

Start

18:18

End

18:21