Post traumatic cholesteatoma in a case of Temporal bone fracture

In the management and follow up in a case of road traffic accident which resulted in a longitudinal temporal bone fracture with facial nerve palsy persisting over four years with recent onset of ear discharge and impairment in hearing found to have attic cholesteatoma which was managed with canal wall down mastoidectomy and cartilage tympanoplasty. We would like to recommend a long term follow up in all cases of temporal bone fracture even with a negative history of prior ear discharge or hard of hearing