Ear Pic of the Week – Cholesteatoma

Dr. Eloy Villasuso, Otolaryngologist at Cleveland Clinic Florida, provided us with an great image of a Cholesteatoma that we wanted to share!

Right ear with Cholesteastoma captured by Dr. Villasuso with his CellScope Oto

Right ear with Cholesteastoma captured by Dr. Villasuso with his CellScope Oto

Cholesteatoma is an uncommon condition where a cyst-like growth develops in the ear. It can be a congenital problem but most commonly occurs as a complication of chronic ear infection.

As Dr Villasuso explains, “This patient had right ear pain for the last several months with decreased hearing. When he presented to the clinic a large amount of cerumen and squamous debris was removed from his right ear canal revealing the defect seen in the picture. The picture shows a large tympanic membrane perforation eroding the scutum with cholesteatoma outlining the head of the malleus and no visible incus. The inferior portion of tympanic membrane was otherwise normal.”

Surgery is usually advised to remove the cholesteatoma and prevent further damage, including hearing loss. This patient underwent a tympanoplasty and mastoidectomy for removal of the extensive cholesteatoma and will be monitored regularly.

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