Recurrent Cholesteatoma with Jugular Foramen Syndrome; A Case Report.

A 35-year-old man who underwent canal down operation for a left middle ear cholesteatoma 30 years earlier, suffered from meningitis. He also developed hoarseness and dysphagia while he was hospitalized. CT and MRI scans showed a mass causing these syndromes. To control infection by Pseudomonas aeruginosa and to confirm the focus of infection, we planned a two-stage operation. We first removed a part of the cholesteatoma and left a drainage tube.After irrigation through the drainage tube and antibiotics therapy for two months, he underwent a second operation to remove the cholesteatoma completely without leakage cerebrospinal fluid.