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Co-existing cholesteatoma and vestibular schwannoma

Lookup NU author(s): Emeritus Professor David Mendelow


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A 69-year-old man presented with a cholesteatoma in the right mastoid process and a vestibular schwannoma at the left internal acoustic meatus. Cholesteatoma co-existing with a vestibular schwannoma has not been documented previously in the contemporary literature. The clinical dilemma in the management of his progressive bilateral hearing loss is discussed. He presented with dizziness and bilateral hearing loss worse on the right side. Pressure over the mastoid process elicited vertigo and nystagmus. He had no history of previous operation or infection in the ear canal. Audiograms confirmed high-tone hearing loss. Radiological investigations revealed a symptomatic cholesteatoma on the right side and an incidental vestibular schwannoma on the left. We have elected to manage both lesions conservatively. Bilateral cholesteatoma and bilateral vestibular schwannomas have been previously reported. Co-existing lesions, as in our patient have, however, not been reported previously. The management options of his hearing loss are discussed.

Publication metadata

Author(s): Ogungbo B, Holliman D, Mendelow AD, Hill J

Publication type: Article

Publication status: Published

Journal: Journal of Laryngology and Otology

Year: 2002

Volume: 116

Issue: 6

Pages: 460-463

ISSN (print): 0022-2151

ISSN (electronic): 1748-5460

Publisher: Cambridge University Press