This patient presented with a right-sided facial paralysis. The cause was a large congenital epidermal cyst [cholesteatoma]. The middle ear is filled by the cholesteatoma and the tympanic membrane is...
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.
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].
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![Large Congenital Cholesteatoma [epidermal cyst]](https://medtube.net/images/min/e60264564c38a7fca815b2872b8cac2e/149/112/1 "Large Congenital Cholesteatoma [epidermal cyst]")
