Management of the association of otosclerosis and cholesteatoma: Which pathology to treat first?

Mouna Lyoubi; Loubna Douimi; Zineb El Krimi; Youssef Oukessou; Reda Abada; Sami Rouadi; Mohammed Roubal; Mohammed Mahtar

doi:10.1016/j.ijscr.2022.107281

Management of the association of otosclerosis and cholesteatoma: Which pathology to treat first?

Int J Surg Case Rep. 2022 Jul:96:107281. doi: 10.1016/j.ijscr.2022.107281. Epub 2022 Jun 6.

Authors

Mouna Lyoubi¹, Loubna Douimi², Zineb El Krimi², Youssef Oukessou², Reda Abada², Sami Rouadi², Mohammed Roubal², Mohammed Mahtar²

Affiliations

¹ ENT Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca 20000, Morocco. Electronic address: mounalyoubi03@gmail.com.
² ENT Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca 20000, Morocco.

Abstract

Hearing loss can result from a wide range of pathologies affecting patients of all ages. It may be due to abnormalities of the outer, middle or inner ear. In this article, we present a case of a 50 years old female patient presenting to the ENT and Head & Neck surgery department of 20 August hospital, complaining of bilateral hearing loss, in whom clinical examination found right attical retraction pocket with scales and left normal tympanic membrane. Complementary investigations revealed the association of two distinct conditions, rarely described in literature: otosclerosis, and chronic otitis media with cholesteatoma in right ear and left otosclerosis. The challenge in this case was to determine the therapeutic strategy: start with left otosclerosis? the right cholesteatoma? simultaneously treat otosclerosis and cholesteatoma right?

Keywords: Hearing loss; Middle ear cholesteatoma; Otosclerosis; Surgery; Temporal bone.