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Temporal bone fibrous dysplasia and cholesteatoma leading to the development of a parapharyngeal abscess

Published online by Cambridge University Press:  29 June 2007

Michelle R. Yagoda  and
Samuel H. Selesnick
Michelle R. Yagoda
Affiliation:
Department of Otolaryngology, The New York Hospital, Cornell University Medical Centre, New York.
Samuel H. Selesnick*
Affiliation:
Department of Otolaryngology, The New York Hospital, Cornell University Medical Centre, New York.
*
Samuel H. Selesnick, M.D., Department of Otolaryngology, Cornell University Medical Centre, 525 East 68th Street, Starr 541, New York, New York 10021, USA.
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Abstract

Monostotic fibrous dysplasia of the temporal bone is a rare disease entity that may lead to progressive stenosis of the external auditory canal with resultant trapping of skin and the development of cholesteatoma. The cholesteatoma may extend widely into the temporal bone. Once cholesteatoma occupies the petrous apex, erosion out of the temporal bone can occur superiorly into the middle fossa, posteriorly into the posterior fossa, inferiorly into the neck, and infero-medially into the parapharyngeal space. We present a case in which minimal symptoms were present despite a massive temporal bone fibrous dysplasia and cholesteatoma. Eventually, cholesteatoma eroded into the parapharyngeal space, leading to airway compromise. Late presentation occurred because the otic capsule was spared, there was no external skull deformity and there was slow inferior and medial growth that was well tolerated, until the development of a parapharyngeal space abscess.

Keywords

Fibrous dysplasia of boneTemporal boneCholesteatomaAbscessparapharyngeal
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 1 , January 1994 , pp. 51 - 53
Copyright
Copyright © JLO (1984) Limited 1994

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Footnotes

Presented at the Progrès en otologie, conference emerité, en l'honneur du Professeur, Michel Portmann, Université de Bordeaux, France, December 4, 1992.

References

Basek, M. (1967) Fibrous dysplasia of the middle ear. Archives of Otolarynoglogy 86: 528–534.Google Scholar
Batsakis, J. (1979) Tumours of the Head and Neck. 2nd Edition. Williams and Wilkins, Baltimore, pp 410–413.Google ScholarPubMed
Bergeron, R., Osborn, A., Som, P. (1984) Head and Neck Imaging, excluding the Brain C. V. Mosby, St. Louis, pp 806–808.Google Scholar
ElDeeb, M., Waite, E., Gorlin, R. (1979) Congenital monostotic fibrous dysplasia - a new, possibly autosomal-recessive disorder. Journal of Oral Surgery 37: 520–522.Google Scholar
Fries, J. (1957) The roentgen features of fibrous dysplasia of the skull and facial bones: a critical analysis of thirty-nine pathologically proven cases. American Journal oentgenology 77: 71–88.Google Scholar
Huvos, A., Higinbotham, H., Miller, T. (1972) Bone sarcomas arising in fibrous dysplasia. Journal of Bone and Joint Surgery 54A: 1047–1056.CrossRefGoogle Scholar
Lambert, P., Brackmann, D. (1984) Fibrous dysplasia of the temporal bone: the use of computerized tomography. Otolaryngology - Head and Neck Surgery 92 (4).CrossRefGoogle ScholarPubMed
Lichtenstein, L. (1938) Polyostotic fibrous dysplasia. Archives of Surgery 36: 874–898.CrossRefGoogle Scholar
Lichtenstein, L., Jaffe, H. (1942) Fibrous dysplasia of bone. Archives of Pathology 33: 777–816.Google Scholar
McCune, D. J., Bruch, H. (1937) Osteodystrophia fibrosa: Report of a case in which condition was combined with precocius pubity pathologic pigmentation of skin and hyperthyroidism with review of literature. American Journal of Diseases of Children 54: 806–848.CrossRefGoogle Scholar
Nager, G., Kennedy, D., Kopstein, E. (1982) Fibrous dysplasia: a review of the disease and its manifestations in the temporal bone. Annals of Otology, Rhinology and Laryngology 91 (92).Google Scholar
Schlumbergef, H. (1947) Fibrous dysplasia of single bones (monostotic fibrous dysplasia). Military Surgery 99: 504–527.CrossRefGoogle Scholar
Schwartz, D., Alpert, M. (1964) The malignant transformation of fibrous dysplasia. American Journal of Medical Science 247: 35–54.CrossRefGoogle ScholarPubMed
Smouha, E., Edelstein, D., Parisier, S. (1987) Fibrous dysplasia involving the temporal bone: report of three new cases. American Journal of Otology 8 (2).Google ScholarPubMed
Younis, M., Haleem, A. (1987) Monostotic fibrous dysplasia of the temporal bone. Journal of Laryngology and Otology 101: 1070–1074.CrossRefGoogle Scholar
Zappia, J., LaRouere, M., Telian, S. (1990) Massive ossifying fibroma of the temporal bone. Otolaryngology - Head and Neck Surgery 103 (3) 480–483CrossRefGoogle ScholarPubMed