Cavernous sinus cholesteatoma

• Extratemporal Cholesteatoma: A Review of Nine cases
• Microscopic with Endoscopic Surgery via Subtemporal Approach for Cavernous Sinus Cholesteatomas
• Manifestations of Skull Base IgG4-Related Disease: A Multi-Institutional Study
• Meckel Cave Epidermoid Cyst Presenting as Multiple Cranial Nerve Deficits Due to Indirect Tumoral Compression of the Cavernous Sinus: A Case Report and Literature Review
• Clinical analysis of otogenic Mouret abscess: a case report
• Endovascular Management of Iatrogenic Vascular Injury in the Craniocervical Region
• A mistaken identity: rhabdomyosarcoma of the middle ear cleft misdiagnosed as chronic suppurative otitis media with temporal lobe abscess
• Isolated nontraumatic abducens nerve palsy

“Cavernous Sinus Cholesteatoma” is a misnomer. A cholesteatoma is an abnormal growth of skin cells that can occur in certain parts of the body, typically within the middle ear or other areas related to the ear.

see Cavernous sinus epidermoid cyst

Patients with cavernous sinus cholesteatoma underwent surgery between June 2016 and June 2022 at the Department of Neurosurgery at the First Affiliated Hospital of Soochow University. Clinical data were obtained from all patients for analysis.

Common preoperative symptoms included headache, dizziness, diplopia, ptosis, and facial numbness. There were 7 patients with two or more symptoms. There were 13 patients with total resection and 3 patients with subtotal resection. There were 5 patients with improved postoperative symptoms, 10 patients with no significant change, and 1 patient with worse symptoms. New postoperative cranial nerve defects occurred in 4 patients. During the follow-up, all patients had favorable prognosis without progression.

Using the “double-scope” technique, the subtemporal approach, a surgical strategy for cavernous sinus cholesteatomas, was sufficient to completely resect the tumors ¹⁾.