Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-23T11:04:01.090Z Has data issue: false hasContentIssue false

Tuberculoma of the mastoid

Published online by Cambridge University Press:  29 June 2007

D. S. Grewal*
Affiliation:
Department of ENT and Head and Neck Surgery, B.Y.L. Nair Ch. Hospital and T. N. Medical College. Bombay 400 008, India.
Puneet Bhargava
Affiliation:
Department of ENT and Head and Neck Surgery, B.Y.L. Nair Ch. Hospital and T. N. Medical College. Bombay 400 008, India.
Bachi Mistry
Affiliation:
Department of ENT and Head and Neck Surgery, B.Y.L. Nair Ch. Hospital and T. N. Medical College. Bombay 400 008, India.
Ninad Gaikwad
Affiliation:
Department of ENT and Head and Neck Surgery, B.Y.L. Nair Ch. Hospital and T. N. Medical College. Bombay 400 008, India.
*
Address for correspondence: Dr D. S. Grewal, Professor and Head of Department of ENT and Head and Neck Surgery, B.Y.L. Nair Ch. Hospital and T. N. Medical College, Bombay 400 008, India.

Abstract

Tuberculoma is a rare but known complication of tuberculosis. It rarely occurs in the mastoid bone. When it occurs in the middle ear cleft, it can lead to intracranial complications if there is a delay in the diagnosis and management.

A rare case of tuberculosis of the middle ear cleft which presented as tuberculoma of the mastoid bone with infranuclear facial palsy is described. The tuberculoma was removed and a canal wall down tympanomastoidectomy was performed. Post-operatively the patient was kept on antituberculous therapy. The various problems encountered in the diagnosis and management of this case are discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Boyd, W. (1970) Nervous system. In A Text Book of Pathology. 8th Edition. (Boyd, W., ed.), Lea and Febiger, Philadelphia, USA, pp 1231.Google Scholar
Glover, S. C., Tranter, R. M. D., Inoves, J. A. (1981) Clinical records, tuberculous otitis media – a reminder. Journal of Laryngology and Otology 95: 12621264.CrossRefGoogle Scholar
Grewal, D. S., Baser, B., Shahani, R. N., Khanna, S. (1991) Tubercubus otitis media presenting as complications: report of 18 cases. Auris-Nasus-Larynx (Tokyo) 18: 199208.CrossRefGoogle ScholarPubMed
Hebert, F., Riordoan, D. (1964) Tuberculosis of the middle ear. Laryngoscope 74: 198204.Google Scholar
Jeang, M. K., Fletcher, E. C. (1983) Tuberculous otitis media. Journal of American Medical Association 249: 22312232.CrossRefGoogle ScholarPubMed
Lee, P. Y. C., Drysdale, A. J. (1993) Tuberculous otitis media: a difficult diagnosis. Journal of Laryngology and Otology 107: 339341.CrossRefGoogle ScholarPubMed
Myerson, M. C. (1944) Tuberculosis of the middle ear and mastoid. In Tuberculosis of the Ear, Nose and Throat. 1st Edition. (Myerson, M. C., ed), Charles C. Thomas, Springfield, pp 155178.Google Scholar
Oligimi, O. (1988) Early diagnosis of tuberculous otitis media. Journal of Otolaryngology 102: 133135.Google Scholar
Ormerod, F. C. (1993) Tuberculous disease of the middle ear. Journal of Laryngology and Otology 46: 449459.CrossRefGoogle Scholar
Plester, D., Pusalkar, A., Stienbach, E. (1980) Clinical records – middle ear tuberculosis. Journal of Laryngology and Otology 94: 14151421.CrossRefGoogle Scholar
Windle-Taylor, P. C., Bailey, M. C. (1980) Tubercubous otitis media – a series of 22 patients. Laryngoscope 90: 10391044.CrossRefGoogle ScholarPubMed