Cholesteatoma Presenting with Post Auricular Abscess, is Drainage and Mastoidectomy at the Same Time or with Time Interval? (Case Report with Clinical Challenge) Abshirini Hassan1, Lotfinia Mojtaba2, Namazi Mohmmad Javad3, Rezasoltani Mahsa3, Mofrad Amir Mohammad Eghbalnejad4 1Department of Otorhinolaryngology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran 2Otorhinolaryngology Resident, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran 3Graduated Medical Student, Islamic Azad Medical University of Tehran, Iran 4Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Online published on 17 July, 2019. Abstract Cholesteatoma is a destructive and expanding growth consisting of keratinizing squamous epithelium in the middle ear and/or mastoid process. The authors report a case of a 31-year-old man with chronic otitis media of his left ear for many years with a positive history of partial mastoidectomy in 10 years ago. His presentation was as follows: otorrhea as a funky pus from the left ear for 10 days, tenderness, Erythema, and fluctuation in the left posturicular ear and general appearance was ill and feverish. In The laboratory evaluation C-reactive protein (CRP) was 2+ and Erythrocyte sedimentation rate (ESR) was 55(mm/h).after that the Computed tomography scan (CT) was taken and incision and drainage of abases was done. Two weeks later mastoidectomy for cholesteatoma was done. We raised the case for discussing the time of cholesteatoma surgery and its time interval with cholesteatoma complication. And with the case, we can propose that if there is a definite time interval between the two surgeries due to the better field of surgery and reduce inflammation. So Second surgery was easier and less risky and with better results. We prepared the operating room for incision and derange. Top Keywords Post auricular abscess, cholesteatoma, otitis media, drainage, mastoidectomy. Top |