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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.

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