eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Middle Ear & Mastoid

Middle Ear, Cholesteatoma: Multimedia

Author: Peter S Roland, MD, Professor, Department of Neurological Surgery, Professor and Chairman, Department of Otolaryngology-Head and Neck Surgery, Director of Clinical Center for Auditory, Vestibular and Facial Nerve Disorders, Chief of Pediatric Otology, University of Texas Southwestern Medical Center; Adjunct Professor of Communicative Disorders, University of Texas School of Human Development
Contributor Information and Disclosures

Updated: Jun 29, 2009

Multimedia

Middle ear cholesteatoma. Attic cholesteatoma. Th...Media file 1: Middle ear cholesteatoma. Attic cholesteatoma. This is a typical primary acquired cholesteatoma in its earliest stages.
Middle ear cholesteatoma. Attic cholesteatoma. Th...

Middle ear cholesteatoma. Attic cholesteatoma. This is a typical primary acquired cholesteatoma in its earliest stages.

Middle ear cholesteatoma. A large cholesteatoma. ...Media file 2: Middle ear cholesteatoma. A large cholesteatoma. No landmarks are visible, which typically is the case with advanced cholesteatomas.
Middle ear cholesteatoma. A large cholesteatoma. ...

Middle ear cholesteatoma. A large cholesteatoma. No landmarks are visible, which typically is the case with advanced cholesteatomas.

Middle ear cholesteatoma. A congenital cholesteat...Media file 3: Middle ear cholesteatoma. A congenital cholesteatoma. A white mass can be seen behind an intact drum.
Middle ear cholesteatoma. A congenital cholesteat...

Middle ear cholesteatoma. A congenital cholesteatoma. A white mass can be seen behind an intact drum.

Middle ear cholesteatoma. A large attic cholestea...Media file 4: Middle ear cholesteatoma. A large attic cholesteatoma that is much more advanced than the one in Image 1.
Middle ear cholesteatoma. A large attic cholestea...

Middle ear cholesteatoma. A large attic cholesteatoma that is much more advanced than the one in Image 1.

Middle ear cholesteatoma. CT scan of an erosive c...Media file 5: Middle ear cholesteatoma. CT scan of an erosive cholesteatoma. The posterior canal wall has been eroded away, and the external auditory canal has filled with cholesteatomatous debris. Surprisingly, the middle ear is relatively free of disease.
Middle ear cholesteatoma. CT scan of an erosive c...

Middle ear cholesteatoma. CT scan of an erosive cholesteatoma. The posterior canal wall has been eroded away, and the external auditory canal has filled with cholesteatomatous debris. Surprisingly, the middle ear is relatively free of disease.

Middle ear cholesteatoma. A large, adequate meato...Media file 6: Middle ear cholesteatoma. A large, adequate meatoplasty. Such a meatoplasty is usually necessary to create a problem-free cavity.
Middle ear cholesteatoma. A large, adequate meato...

Middle ear cholesteatoma. A large, adequate meatoplasty. Such a meatoplasty is usually necessary to create a problem-free cavity.

More on Middle Ear, Cholesteatoma

Overview: Middle Ear, Cholesteatoma
Workup: Middle Ear, Cholesteatoma
Treatment: Middle Ear, Cholesteatoma
Follow-up: Middle Ear, Cholesteatoma
Multimedia: Middle Ear, Cholesteatoma
References

References

  1. Ottaviani F, Neglia CB, Berti E. Cytokines and adhesion molecules in middle ear cholesteatoma. A role in epithelial growth?. Acta Otolaryngol. 1999;119(4):462-7. [Medline].

  2. De la Cruz A, Fayad JN. Detection and management of childhood cholesteatoma. Pediatr Ann. Jun 1999;28(6):370-3. [Medline].

  3. Kemppainen HO, Puhakka HJ, Laippala PJ, et al. Epidemiology and aetiology of middle ear cholesteatoma. Acta Otolaryngol. 1999;119(5):568-72. [Medline].

  4. Golz A, Goldenberg D, Netzer A, et al. Cholesteatomas associated with ventilation tube insertion. Arch Otolaryngol Head Neck Surg. Jul 1999;125(7):754-7. [Medline].

  5. Thompson JW. Cholesteatomas. Pediatr Rev. Apr 1999;20(4):134-6. [Medline].

  6. Tierney PA, Pracy P, Blaney SP, Bowdler DA. An assessment of the value of the preoperative computed tomography scans prior to otoendoscopic 'second look' in intact canal wall mastoid surgery. Clin Otolaryngol Allied Sci. Aug 1999;24(4):274-6. [Medline].

  7. Gaurano JL, Joharjy IA. Middle ear cholesteatoma: characteristic CT findings in 64 patients. Ann Saudi Med. Nov-Dec 2004;24(6):442-7. [Medline].

  8. Joel Swartz, H. Harnsberger. Imaging of the Temporal Bone. 3 Sub edition. New York: George Thieme Verlag; Oct 1, 1997.

  9. Vercruysse JP, De Foer B, Pouillon M, et al. The value of diffusion-weighted MR imaging in the diagnosis of primary acquired and residual cholesteatoma: a surgical verified study of 100 patients. Eur Radiol. Mar 3 2006;[Medline].

  10. Dubrulle F, Souillard R, Chechin D, et al. Diffusion-weighted MR imaging sequence in the detection of postoperative recurrent cholesteatoma. Radiology. Feb 2006;238(2):604-10.

  11. Roland PS, Meyerhoff WL. Open-cavity tympanomastoidectomy. Otolaryngol Clin North Am. Jun 1999;32(3):525-46. [Medline].

  12. Graham MD, Delap TG, Goldsmith MM. Closed tympanomastoidectomy. Otolaryngol Clin North Am. Jun 1999;32(3):547-54. [Medline].

  13. Roth TN, Haeusler R. Inside-out technique cholesteatoma surgery: a retrospective long-term analysis of 604 operated ears between 1992 and 2006. Otol Neurotol. Jan 2009;30(1):59-63. [Medline].

  14. Sanna M, Facharzt AA, Russo A, Lauda L, Pasanisi E, Bacciu A. Modified Bondy's technique: refinements of the surgical technique and long-term results. Otol Neurotol. Jan 2009;30(1):64-9. [Medline].

  15. Busaba NY. Clinical presentation and management of labyrinthine fistula caused by chronic otitis media. Ann Otol Rhinol Laryngol. May 1999;108(5):435-9. [Medline].

Further Reading

Keywords

keratoma, cholesteatoma, middle ear cholesteatoma, canal-wall-down otologic surgery, canal-wall-up otologic surgery, canal-wall-down technique, canal-wall-up technique, ear lesion, ear mass, congenitally acquired cholesteatoma, primarily acquired cholesteatoma, secondarily acquired cholesteatoma, congenital cholesteatoma, primary cholesteatoma, secondary cholesteatoma, chronic middle ear fluid, conductive hearing loss, tympanic membrane retraction, tympanic membrane trauma, tympanic membrane injury, acute otitis media, AOM, OM, acute OM, tympanic membrane perforation, painless otorrhea, otorrhea, hearing loss, deafness

Contributor Information and Disclosures

Author

Peter S Roland, MD, Professor, Department of Neurological Surgery, Professor and Chairman, Department of Otolaryngology-Head and Neck Surgery, Director of Clinical Center for Auditory, Vestibular and Facial Nerve Disorders, Chief of Pediatric Otology, University of Texas Southwestern Medical Center; Adjunct Professor of Communicative Disorders, University of Texas School of Human Development
Peter S Roland, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American Auditory Society, American Laryngological Rhinological and Otological Society, American Neurotology Society, American Otological Society, North American Skull Base Society, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Alcon labs Honoraria Speaking and teaching; GSK Honoraria Speaking and teaching; Advanced Bionics Honoraria Board membership; Cochlear corp Honoraria Board membership; Med El corp travel grants Consulting

Medical Editor

Jack A Shohet, MD, Associate Clinical Professor, Department of Otolaryngology-Head and Neck Surgery, University of California Irvine; Otolaryngologist, Shohet Ear Associates Medical Group, Inc
Jack A Shohet, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Neurotology Society, American Tinnitus Association, and California Medical Association
Disclosure: Envoy Medical Consulting fee Consulting

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Gerard J Gianoli, MD, Clinical Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Tulane University School of Medicine; Vice President, The Ear and Balance Institute; Chief Executive Officer, Ponchartrain Surgery Center
Gerard J Gianoli, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Neurotology Society, American Otological Society, Society of University Otolaryngologists-Head and Neck Surgeons, and Triological Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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