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Cholesteatoma extending into the sternocleidomastoid muscle presenting as a Bezold abscess
  1. Sudhagar Eswaran,
  2. Sarath Kumar and
  3. Prasanna Kumar Saravanam
  1. ENT, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Prasanna Kumar Saravanam; sprasannakumar10{at}


Cholesteatoma is a non-neoplastic cystic lesion arising in the middle ear cleft with the propensity to spread and recur after surgery, but it is unusual to find cholesteatoma invading sternocleidomastoid muscle after 15 years of modified radical mastoidectomy and presenting as Bezold abscess. In this report, the authors highlight the fact that cholesteatoma recurrence if neglected can present as a Bezold abscess with the invasion of cholesteatoma from the mastoid tip into the sternocleidomastoid muscle. This requires complete excision of the cholesteatoma sac along with the surrounding soft tissue.

  • ear
  • nose and throat/otolaryngology
  • otitis
  • ear
  • nose and throat
  • TB and other respiratory infections

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  • Contributors PKS is the corresponding author of the article. He is the senior consultant who has dealt with the case. SE was the monitor of the case report. SK was the one who has written the case report. We hereby declare that there are no conflicts of interest among us. We are publishing this article only in this journal and give entire rights for publishing in this journal.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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