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Congenital cholesteatoma in identical twins

Published online by Cambridge University Press:  10 December 2012

T Al Balushi ,
J Z Naik  and
M Al Khabori
T Al Balushi*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery and Communication Disorders, Al Nahdha Hospital, Muscat, Sultanate of Oman
J Z Naik
Affiliation:
Department of Otolaryngology, Head and Neck Surgery and Communication Disorders, Al Nahdha Hospital, Muscat, Sultanate of Oman
M Al Khabori
Affiliation:
Department of Otolaryngology, Head and Neck Surgery and Communication Disorders, Al Nahdha Hospital, Muscat, Sultanate of Oman
*
Address for correspondence: Dr Taji Al Balushi, Department of Otolaryngology, Head and Neck Surgery and Communication Disorders, Al Nahdha Hospital, PO Box 937, PC 112, Ruwi, Muscat, Sultanate of Oman Fax: +968 24834440 E-mail: [email protected]
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Abstract

Objective:

We present an extremely rare case of congenital cholesteatoma in identical twins.

Method:

Case report of congenital cholesteatoma in identical twins, and a literature review, are presented.

Results:

Both cases presented to the ENT out-patient clinic, but with different clinical pictures. Both were managed surgically.

Conclusion:

Congenital cholesteatoma presents as a whitish mass in the middle ear, with an intact tympanic membrane. It is a rare entity comprising between 3.7 and 24 per cent of total cholesteatoma cases. The key to its diagnosis is the absence of previous ear infection, ear surgery and local trauma. To our best knowledge, this paper represents the first report in the world literature of congenital cholesteatoma in identical twins.

Keywords

Cholesteatoma, CongenitalTwins, MonozygoticDiagnosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 1 , January 2013 , pp. 67 - 69
Copyright
Copyright © JLO (1984) Limited 2012

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Footnotes

Presented at the 8th Annual Middle East Update in Otolaryngology Meeting, 8–10 May 2011, Dubai, United Arab Emirates

References

1 Mahanta, VR, Uddin, FJ, Mohan, S, Sharp, JF. Non-classical presentation of congenital cholesteatoma. Ann R Coll Surg Engl 2007;89:W6–8CrossRefGoogle ScholarPubMed
2 Kazahaya, K, Potsic, WP. Congenital cholesteatoma. Curr Opin Otolaryngol Head Neck Surg 2004;12:398–403 Google ScholarPubMed
3 Levenson, MJ, Parisier, SC, Chute, P, Wenig, S, Juarbe, C. A review of twenty congenital cholesteatomas of the middle ear in children. Otolaryngol Head Neck Surg 1986;94:560–7CrossRefGoogle ScholarPubMed
4 Teed, RW. Cholesteatoma verum tympani: its relationship to the first epibranchial placode. Arch Otolaryngol 1936;24:455–74CrossRefGoogle Scholar
5 Levenson, MJ, Michaels, L, Parisier, SC. Congenital cholesteatoma of the middle ear in children: origin and management. Otolaryngol Clin North Am 1989;22:941–54CrossRefGoogle ScholarPubMed
6 Kojima, H, Miyazaki, H, Tanaka, Y, Shiwa, M. Congenital middle ear cholesteatoma: experience in 48 cases [in Japanese]. Nippon Jibibiinkoka Gakkai Kaiho 2003;106:856–65CrossRefGoogle ScholarPubMed
7 Friedberg, J. Congenital cholesteatoma. Laryngoscope 1994;104:1–24 CrossRefGoogle ScholarPubMed
8 Aimi, K. Role of the tympanic ring in the pathogenesis of congenital cholesteatoma. Laryngoscope 1983;93:1140–6Google ScholarPubMed
9 Michaels, L. An epidermoid formation in the developing middle ear: possible source of cholesteatoma. J Otolaryngol 1986;15:169–74Google ScholarPubMed
10 Derlacki, EL, Clemis, JD. Congenital cholesteatoma of the middle ear and mastoid. Ann Otol Rhinol Laryngol 1965;74:706–27Google ScholarPubMed
11 McGill, TJ, Merchant, S, Healy, GB, Friedman, EM. Congenital cholesteatoma of the middle ear: a clinical and histopathological report. Laryngoscope 1991;101:606–13CrossRefGoogle ScholarPubMed
12 Homoe, P, Rosborg, J. Family cluster of cholesteatoma. J Laryngol Otol 2007;121:65–7Google ScholarPubMed
13 Prinsely, P. Familial cholesteatoma in East Anglia, UK. J Laryngol Otol 2009;123:294–7CrossRefGoogle Scholar
14 Podoshin, L, Fradis, M, Ben David, Y, Margalit, A, Tamir, A, Epstein, L. Cholesteatoma: an epidemiologic study among members of kibbutzim in Northern Israel. Ann Otol Rhinol Laryngol 1986;95:365–8CrossRefGoogle ScholarPubMed
15 House, JW, Sheehy, JL. Cholesteatoma with intact tympanic membrane: a report of 41 cases. Laryngoscope 1980;90:70–6CrossRefGoogle ScholarPubMed