cholesteatoma

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Large Cholesteatoma in Middle Ear
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Large Cholesteatoma in Middle Ear

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There is a large cholesteatoma in this patient's left middle ear which on first glance resembles an effusion. Note the yellow crust over the attic area [12 o'clock position] is a diagnostic clue to an...

Mastoid Abscess Mastoidectomy
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Mastoid Abscess Mastoidectomy

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The underlying cause of this patient's postauricular mastoid abscess is revealed as the mastoidectomy proceeds. There was a large cholesteatoma eroding into the mastoid has revealed by this white collection...

Congenital Epiderman Cyst of the Tympanic Membrane
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Congenital Epiderman Cyst of the Tympanic Membrane

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Note the round white cyst in the tympanic membrane just overlying the malleus of this right tympanic membrane. This is a rare intratympanic membrane epidermal cyst.

Large Congenial Cholesteatoma
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Large Congenial Cholesteatoma

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This right middle ear is filled with keratin debris has pushed the tympanic membrane laterally and obliterated the normal landmarks. This turned out to be a congenital cholesteatoma.

Congenital Cholesteatoma
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Congenital Cholesteatoma

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The white "cyst" seen in this middle ear behind the right tympanic membrane in this teenager is a congenital localized epidermal cyst [a congenital cholesteatoma].

Cholesteatoma Left Ear
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Cholesteatoma Left Ear

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The white mass seen in the postero-superior quadrant of this left middle ear is a cholesteatoma. Note the crust superiorly in the 12 o'clock position which cover over the attic area from which this cholesteatoma...

Attic Cholesteatoma
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Attic Cholesteatoma

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Note the granulation tissue arising from the attic area of this left middle ear. This "Herodion" signals an underlying cholesteatoma in the middle ear.

Cholesteatoma
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Cholesteatoma

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The white mass of keratin surrounding the malleus of this left middle ear is a cholesteatoma. Note the large central perforation.

Attic Perforation with Keratin and Grommet In-situ
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Attic Perforation with Keratin and Grommet In-situ

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Figure showed a small left attic perforation with trapped keratins despite (typical sac with bottle-neck opening), retracted eardrum and grommet in-situ.

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