OBJECTIVE Routine endoscopic examination during primary surgery decreased the rate of residual cholesteatoma to 18% in our early experience. Based on this, we stopped performing routine second-look surgery in children who were endoscopically free of cholesteatoma at the end of primary surgery. We sought to investigate if second-look procedures after endoscopic-assisted surgery could safely be p...

INTRODUCTION Congenital cholesteatoma of the middle ear is un uncommon and yet not well-defined disease. Only few cases of cholesteatoma in thefossa ovalis with unusual clinical presentation have been reported in medical literature. CASE REPORT We reported a 16-year-old girl with congenital cholesteatoma in the fossa ovalis with minimal clinical presentation. A small mass was found occluding ...

This is a retrospective review of congenital cholesteatoma cases that were managed surgically. There were 5 cases. The age of presentation ranged from 5 to 18 year old. Three patients presented with complication of the disease. Three patients had intact tympanic membrane, two had perforation at the anterior superior quadrant. All patients had cholesteatoma medial to tympanic membrane. Four case...

In this study, 50 patients are included to analyze the incidence of incus erosion in chronic Suppurative otitis media with cholesteatoma. Of these patients 64% were male and 36% were female. Young patients most commonly reported to E.N.T Out Patient Department. The majority of these patients were in between 10 to 30 years and 2% beyond 50 years. Most common presentation was hearing loss, ear di...

Aim: To examine 5 year results of canal wall down mastoidectomy surgery for cholesteatoma. Methods: It was a retrospective study, performed by reviewing medical records of 53 patients with cholesteatoma who had undergone Canal Wall Down Mastoidectomy in ENT department, Lahore Medical & Dental College Lahore/Ghurki trust Teaching Hospital Lahore with a minimum follow-up of 5 years. Results: Duri...

Chronic mastoiditis and subperiosteal abscess are rarely seen nowadays in most countries. Thirty-four cases of mastoiditis were reviewed to find out the prevalence of chronic mastoiditis in the east coast of Malaysia. Twenty (58.82%) of these cases were a sequelae of chronic suppurative otitis media with cholesteatoma. All the patients with chronic mastoiditis were more than six years old. Fort...

We present a 65 year old male, who developed giant Cholesteatoma with intracranial extension, multiple cranial nerve palsies, lateral sinus thrombosis with obliteration and post aural fistula. The Patient had foul smelling discharge from right ear since childhood. He complained of headache and LMN type of facial paralysis (right) since 6 months. Patient underwent Right Modified Radical Mastoide...

Auriculo-condylar syndrome (ACS) is a rare condition affecting first branchial arch structures. The types of hearing loss and temporal bone findings in ACS have not been reported. We describe a 14-year-old male with constricted pinnae, mandibular dysostosis, glossoptosis, a high-arched palate, hearing loss, and cholesteatoma. Computed tomography imaging demonstrated malleoincudal joint ankylosi...

Precise reconstruction of external auditory canal (EAC) defect is important for the prevention of retraction pocket and recurrent cholesteatoma. This report describes a new technique for the reconstruction of EAC defect by using bonewax template and the cortical bone. Canal defect reconstruction was performed successfully after the removal of EAC cholesteatoma. There has been no recurrence, and...

Cholesteatoma is an epidermoid cyst that is characterized by independent and progressive growth with destruction of adjacent tissues, especially the bone tissue, and tendency to recurrence. Treatment of cholesteatoma is essentially surgical. The choice of surgical technique depends on the extension of the disease, and preoperative otoscopic and radiological findings can be decisive in planning ...