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Trismus and TMJ disorders as first clinical manifestations in an intracranial acquired cholesteatoma
  1. Chiara Copelli1,
  2. Domenico Catapano2,
  3. Alfonso Manfuso1 and
  4. Aurelio d’Ecclesia1
  1. 1Head and Neck Department, Operative Unit of Maxillo-Facial Surgery and Otolaryngology, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Puglia, Italy
  2. 2Head and Neck Department, Operative Unit of Neurosurgery, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Puglia, Italy
  1. Correspondence to Professor Chiara Copelli; copkids{at}


Intracranial extension of acquired cholesteatoma is a rare occurrence that can develop secondary to trauma, chronic otitis media or acquired aural cholesteatoma. The most commonly observed symptoms are headache and hearing loss. The authors report on a rare case of intracranial cholesteatoma presenting with atypic symptoms: swelling and temporomandibular joint disorders.

  • neurosurgery
  • head and neck surgery
  • otolaryngology / ENT

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  • Contributors All the authors contributed in the paper, in particular: AM: ideation and writing. CC: writing and literature review. Ad: patient treatment, paper revision. DC: patient treatment, paper revision.

  • 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.

  • Competing interests None declared.

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