Cholesteatoma Flashcards
1
Q
Define cholesteatoma
A
locally destructive expansion of keratinised stratified squamous epithelium within the middle ear
2
Q
Aetiology of cholesteatoma
A
Congenital
Acquired (secondary to attic perforation in chronic suppurative OM)
3
Q
Symptoms and signs of cholesteatoma
A
10-20yo
98% ear discharge OR conductive hearing loss
Foul smelling white discharge
Headache, pain
CN Involvement (vertigo, deafness, facial paralysis)
suspected in any patient with unexplained unilateral ear discharge, not responsive to ABx
4
Q
Investigations for cholesteatoma
A
Otoscopy: pearly white + surrounding inflammation)
CT (if unsure diagnosis)
5
Q
management for cholesteatoma
A
Referral for surgery
6
Q
Complications of cholesteatoma
A
Deafness
Meningitis
Cerebral abscess
