Two Cases of Brain Abscess Due to Cholesteatoma of the Middle Ear

Abstract

Herein, we report two cases of otogenic brain abscess caused by suppurative otitis media and cholesteatoma. The first case was 20-year-old male patient who had a brain abscess in the temporal lobe measuring about 30 mm in diameter. He was successfully managed by brain abscess drainage followed by surgery by a combined otorhinolaryngologic and neurosurgical approach. The second case was 73-year-old female patient who had a brain abscess in the temporal lobe measuring about 17 mm in diameter. She was successfully managed by canal wall-down mastoidectomy removing the membrane of the cholesteatoma in the area of the bone defect. It is important in the treatment of otogenic brain abscess for otorhinolaryngologists and neurosurgeons to work together as a team.