Iatrogenic cholesteatoma.We evaluated a 12-year-old boy who had undergone a myringoplasty my·rin·go·plas·ty (m  -r ng g-pl 1 year earlier. At that time, he had had a large posterior 1. Located behind a part or toward the rear of a structure. 2. Relating to the caudal end of the body in quadrupeds or the dorsal side in humans. 3. Near the tail or caudal end of certain embryos. 1. tympanal; of or pertaining to the tympanum. 2. bell-like; resonant. tym·pan·ic (t m-p n membrane on the right. The ossicular chain was intact. An overlay technique was used to place a temporalis fascia fascia adhe´rens that portion of the junctional complex of the cells of an intercalated disk that is the counterpart of the zonula adherens of epithelial cells. fascia cribro´sa the superficial fascia of the thigh covering the saphenous opening. endothoracic fascia that beneath the serous lining of the thoracic cavity. graft over the malleus mal·le·i (ml - handle and posterior annulus an·u·lus (ny-ls)n. pl. , and the boy's hearing returned to normal. At the 1-year follow-up, a pearly-white spherical mass 3 nun in diameter was seen in the posteroinferior posteroinferior /pos·tero·in·fe·ri·or/ (-in-fer´e-er) posterior and inferior. pos·ter·o·in·fe·ri·or (p  s t quadrant behind a translucent drum (figure, A). The anterior part of the tympanic membrane was infiltrated with plaques of tympanosclerosis tympanosclerosis /tym·pa·no·scle·ro·sis/ (tim?pah-no-skle-ro´sis) a condition characterized by the presence of masses of hard, dense connective tissue around the auditory ossicles in the tympanic cavity.tympanosclerot´ic that had probably been present before the myringoplasty. The lesion was diagnosed as an epithelial cyst cyst (sist) 1. bladder. 2. an abnormal closed epithelium-lined cavity in the body, containing liquid or semisolid material. 3. a stage in the life cycle of certain parasites, during which they are enveloped in a protective wall. that had developed from epithelial fragments that had been left in place under the graft, possibly because of an improper surgical technique (although such a lesion can occur under the care of the most experienced surgeon). The encapsulated cyst was removed by raising a tympanomeatal flap (figure, B). The patient was advised to return for an annual follow-up for the next 3 years. [FIGURE OMITTED] From the Pulec Ear Clinic, Los Angeles (Dr. Pulec), and Gap, France (Dr. Deguine). Jack L. Pulec, MD ([dagger]) Christian Deguine, MD ([dagger]) The late Dr. Pulec was editor-in-chief of EAR NOSE & THROAT JOURNAL from 1992 through 2003. |
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