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<b>Background</b> <p>Automastoidectomy is a condition where the temporal bone gets damaged in people who have not undergone ear surgery before. When there is cholesteatoma, it eats away all the air cells in the mastoid bone and the structures in the middle ear. Essentially, what happens is that cholesteatoma eats away at the air cells in the mastoid bone and the structures in the middle ear. The result is similar to a mastoidectomy operation.</p> <b>Case Presentation</b> <p>A middle-aged female patient presented to our ENT department with a loss of hearing 6 months ago. Two years ago, she complained of unilateral persistent offensive mucopurulent discharge from the right ear and had not responded to systemic or local antibiotics; the discharge then abruptly stopped. Endoscopic examination shows communication between the mastoid antrum and attic, forming a single large cavity connected with the external auditory canal. Pure tone audiometry shows a bilateral mild conductive hearing loss, and computed tomography examination reveals a large eradicated mastoid cavity.</p> <b>Conclusion</b> <p>Automastoidectomy is a potential complication of chronic otitis media with cholesteatoma, which is characterized by the destruction of the posterior wall of the external auditory canal.</p>

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Cholesteatoma Sequel with Automastoidectomy: A Case Report

  • 期刊论文

  • 发表日期：

    2025年7月21日

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  • Ahmed Nabil Selim,
  • Abo Bakr Mohamed Elbakry,
  • El Sayed Said Elswaby,
  • Alaa Abdelwahab Eldarawy

摘要

Background

Automastoidectomy is a condition where the temporal bone gets damaged in people who have not undergone ear surgery before. When there is cholesteatoma, it eats away all the air cells in the mastoid bone and the structures in the middle ear. Essentially, what happens is that cholesteatoma eats away at the air cells in the mastoid bone and the structures in the middle ear. The result is similar to a mastoidectomy operation.

Case Presentation

A middle-aged female patient presented to our ENT department with a loss of hearing 6 months ago. Two years ago, she complained of unilateral persistent offensive mucopurulent discharge from the right ear and had not responded to systemic or local antibiotics; the discharge then abruptly stopped. Endoscopic examination shows communication between the mastoid antrum and attic, forming a single large cavity connected with the external auditory canal. Pure tone audiometry shows a bilateral mild conductive hearing loss, and computed tomography examination reveals a large eradicated mastoid cavity.

Conclusion

Automastoidectomy is a potential complication of chronic otitis media with cholesteatoma, which is characterized by the destruction of the posterior wall of the external auditory canal.