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Updated: Dec 30, 2025
Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma
Published on: December 15, 2023
Supratentorial and cervical extensions of a giant middle ear cholesteatoma
Mahmood Ramak Hashemi1, Hooman Masihi Koohestani1, Hamidreza Shojaei1
1Department of Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.
Introduction:
Cholesteatomas are slowly progressive and well demarcated lesions but if not treated, they can spread to the inner ear and brain and lead to serious neurological complications.
Case Report:
A 59-year old male was referred to our practice. His initial imaging showed that a huge intracranial mass has spread to the neck. Beyond surgical exploration, a sizable temporal bone lesion with extensive keratinisation was observed which later on histopathological exam turned out to be a cholesteatoma.
Conclusions:
Cholesteatomas may be aggressive lesions by rapidly growing and gross destructive features. In such cases, more attempts should be given to ruling out any malignant neoplastic tissues.
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