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Cholesteatoma

Case contributed by Dr Ian Bickle

Presentation

Chronic right ear discharge. Cholesteatoma or mucosal disease?

Patient Data

Age: 25 years
Gender: Male
CT

Soft tissue occupying the right middle ear, involving Prussak spaces and the attic. Erosion of the malleus and incus, as well as the scutum.

The tegmentum tympani is intact.

Fluid in the adjacent mastoid air cells.

Small amount of soft tissue in the left middle ear. The ossicular chain is intact. Normally aerated mastoid air cells.

 

Case Discussion

The typical appearances of a cholesteatoma, with destruction of the ossicular chain of the middle ear.

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Case information

rID: 76176
Published: 2nd Jun 2020
Last edited: 2nd Jun 2020
System: Head & Neck
Inclusion in quiz mode: Included

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