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ENT > Cholesteatoma > Flashcards

Cholesteatoma Flashcards

1
Q

Definition

A

Squamous epithelium from skin of external ear migrates into middle ear and collects in mass

Mass become erosive and gradually erodes bone and soft tissue

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2
Q

Complication if untreated

A 
Progressive hearing loss
Acute mastoiditis
Labyrinthitis
Facial palsy
Meningitis
Intracranial abscess
Venous sinus thrombosis
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3
Q

Clinical Features

A

RED FLAG IF PERFORATION &

  • Persistent smelly discharge
  • no improvement with ear drops
  • Severe hearing loss
  • Dizziness
  • Unexplained CNS plasies
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4
Q

Investigations

A

Otoscope

  • Pearly white mass in pars flaccida
  • Retracted/perforated TM
  • Granulation tissue

Audiogram and CT

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5
Q

Management

A

SURGERY

  • Tympanomastoidectomy
  • Tympanoplasty
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ENT (18 decks)

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