Cholesteatoma (1) Flashcards
1
Q
What is it?
How does it present?
What will be seen O/E?
A
➊ Rare complication of chronic otitis media, where there’s an abnormal accumulation of squamous epithelial cells in the middle ear
N.B. Is a non-cancerous/benign mass
➋ • Foul-smelling discharge
• HL (conductive)
• Otalgia
• Headache
➌ White debris/crust near the top, behind the tympanic membrane
N.B. Like otitis media, it can invade local tissues, leading to facial nerve palsy or CNS complications
2
Q
How is it investigated?
How is it managed?
A
➊ • Audiology
• CT Head to confirm
• MRI to assess invasion and local tissue damage
➋ Surgery
