Presentation
Hearing loss on the left side.
Patient Data
Age: 40 years
Gender: Male
From the case:
Cholesteatoma
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Total opacification of middle ear cavity, filling the epitympanic recess, facial recess, and sinus tympani, as well as round and oval window niches
Ossicular chain is displaced and shows eroded malleus and incus and ill-defined stapes
Widening of aditus ad antrum and formation of a common cavity between epitympanum and aditus
Opacified Eustachian tube
Intact tegmen tympani.
Case Discussion
The typical appearance of a cholesteatoma, with osteolysis of the ossicular chain of the middle ear.