Complicated cholesteatoma in a child with Down syndrome: a case report

Acquiredcholesteatoma in children is an aggressivedisease due to its rapid growth and high recurrence rate. The complications are divided into intra-and extratemporal complications or intracranial complication. Subperiosteal abscess is the most common extratemporal complication. It is most frequent in young children. However, there are also other associated complications described in the literature. Down syndrome patients have anatomical and functional predisposingfactors that contributetochroniccholesteatomatous otitis media. The prevalence is greater than 80 %. In this report, we present a case of subperiosteal abscess in an 8-year-oldchild with Down's syndrome. This abscess presented as a complication of an extended cholesteatoma and required inmediate surgery for resolution.