Cholesteatoma - Revision history

Elcatracho: /* Clinical Features */

2021-02-10T15:02:15Z

Clinical Features

← Revisión anterior		Revisión del 15:02 10 feb 2021
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	==Clinical Features==		==Clinical Features==
			*Conductive [[hearing loss]]
			*May be associated with imbalance and facial weakness
	*Retraction of TM around ossicles		*Retraction of TM around ossicles
	*Formation of cholesteatoma that can retract into the attic of the middle ear		*Formation of cholesteatoma that can retract into the attic of the middle ear

2019-09-30T20:39:08Z

← Revisión anterior		Revisión del 20:39 30 sep 2019
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	**Their accumulation results in a slowly expanding mass		**Their accumulation results in a slowly expanding mass
	**Sac of dead skin cells growing in middle ear on out of surface of TM		**Sac of dead skin cells growing in middle ear on out of surface of TM
	*Can destroy ossicles and expand into mastoid (rarely, intracranially causing brain abscess or [[meningitis]])		*Can destroy ossicles and expand into mastoid (rarely, intracranially causing [[brain abscess]] or [[meningitis]])
	*Often chronically infected with intermittent drainage		*Often chronically infected with intermittent drainage

2018-10-19T14:53:07Z

References

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	==References==		==References==
			*Schraff SA and Strasnick B. Pediatric cholesteatoma: A retrospective review. International Journal of Pediatric Otorhinolaryngology. Volume 70, Issue 3, March 2006, Pages 385-393.
	<references/>		<references/>

	[[Category:ENT]]		[[Category:ENT]]

2018-10-19T14:52:15Z

Disposition

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	==Disposition==		==Disposition==
	*Outpatient, unless complicated intracranial process		*Outpatient, unless complicated intracranial process
			*Many patients require second-look surgical procedure after first

	==See Also==		==See Also==

2018-10-19T14:47:45Z

Disposition

← Revisión anterior		Revisión del 14:47 19 oct 2018
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	==Disposition==		==Disposition==
			*Outpatient, unless complicated intracranial process

	==See Also==		==See Also==

2018-10-19T14:47:25Z

Management

2018-10-19T14:47:16Z

Evaluation

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	==Evaluation==		==Evaluation==
			*Clinical diagnosis
			*Consider CT for examination of ossicle encasement

	==Management==		==Management==

2018-10-19T14:45:04Z

Background

← Revisión anterior		Revisión del 14:45 19 oct 2018
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	**Their accumulation results in a slowly expanding mass		**Their accumulation results in a slowly expanding mass
	**Sac of dead skin cells growing in middle ear on out of surface of TM		**Sac of dead skin cells growing in middle ear on out of surface of TM
	*Can destroy ossicles and expand into mastoid (rarely, intracranially)		*Can destroy ossicles and expand into mastoid (rarely, intracranially causing brain abscess or [[meningitis]])
	*Often chronically infected with intermittent drainage		*Often chronically infected with intermittent drainage

2018-10-19T14:44:45Z

Clinical Features

← Revisión anterior		Revisión del 14:44 19 oct 2018
Línea 9:		Línea 9:

	==Clinical Features==		==Clinical Features==
			*Retraction of TM around ossicles
			*Formation of cholesteatoma that can retract into the attic of the middle ear

	==Differential Diagnosis==		==Differential Diagnosis==

2018-10-19T14:43:36Z

Background

← Revisión anterior		Revisión del 14:43 19 oct 2018
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	==Background==		==Background==
			*Commonly secondary to Eustachian tube dysfunction, which retracts TM
			*A retraction pocket forms and desquamating skin cells are trapped
			**Usually in "attic" involving pars flaccida
			**Their accumulation results in a slowly expanding mass
			**Sac of dead skin cells growing in middle ear on out of surface of TM
			*Can destroy ossicles and expand into mastoid (rarely, intracranially)
			*Often chronically infected with intermittent drainage

	==Clinical Features==		==Clinical Features==