1 / 80

Cholesteatoma

Cholesteatoma. Case History Ossicular Reconstruction Cholesteatoma Case 1. 12 yr old male Left Congenital Cholesteatoma Surgical Reconstruction of ossicular chain and tympanoplasty. SRT/WR. Audio. Cholesteatoma Case 2. 58 y/o female Hx of bilateral cholesteatoma

bebe
Download Presentation

Cholesteatoma

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Cholesteatoma

  2. Case History Ossicular Reconstruction Cholesteatoma Case 1 • 12 yr old male • Left Congenital Cholesteatoma • Surgical Reconstruction of ossicular chain and tympanoplasty

  3. SRT/WR

  4. Audio

  5. Cholesteatoma Case 2 • 58 y/o female • Hx of bilateral cholesteatoma • Hx of multiple bilateral ossicular chain reconstructions, stapedectomy and tympanoplasty • Hx of mastoidectomy

  6. Cholesteatoma Case 3 • 57 y/o male • Hx of Left tympanoplasty, mastoidectomy, and ossicular chain reconstruction

  7. Cholesteatoma Case 4 History • 12 y/o Male • History of right cholesteotoma • Hx of Eustachian Tube dysfuction • Removed cholesteotoma and placed subannular tubes in May 04

  8. Otoscopy • Bilateral atelactasis • No tubes • Pin point perferation right?

  9. Case 5 History • 62 year old female • Recent right tympanoplasty and ossicular chain prosthesis placement 6 months prior

  10. Otoscopy • Right reveals a well healed tympanic graft • Left is within normal limits

  11. Cholesterol granuloma History • 41 year old male • Six to eight week history of low-grade left sided headaches – aggrivated by straining and valsalva. • Recent transient stabbing type pain in left temporal area • Sent to Shands after a CT scan showed a cholesterol granuloma – for biopsy/draining

  12. CT Scan (note our patient has it on the opposite side, it is in the middle ear space)

  13. Otoscopy • There are exostoses in both ear canals obscuring full view of TM

  14. Case 6 History • 79 year old male • Recent tympanoplasty and canaloplasty for a right cholesteatoma

  15. Otoscopy • Pnematic otoscopy reveals grade 4 atelactasis left posterosuperior tympanic membrane with no evidence of cholesteatoma • Right TM is intact

  16. Case 7 History • 13 year old female • History of left cholesteatoma • Underwent tympanoplasty, modified radical mastoidectomy and ossicular chain reconstruction 3 years prior

  17. Otoscopy • Granulation tissue found in left mastoid bulb – cauterized with silver nitrate • TM on left within normal limits • Right TM has developed a retraction of the pars flaccida onto the incus and pars tensa onto the promontory. • Weber lateralizes to the right

  18. Case 8 History • 65 year old female • History of right traumatic perforation with subsequent cholesteatoma • Right tympanoplasty, bony canaloplasty and ossicular chain reconstruction

  19. Otoscopy • Left is within normal limits • Right external auditory canal showed scant dry skin and residue from sterois drops – removed • Graft is healed and there is no evidence of cholesteatoma

  20. Case 9 History • Preoperative consultation for possible left cholesteatoma • History of chronic ear infections • Imaging done one month prior showed soft tissue density consistent with cholesteatoma

  21. Otoscopy • Right is within normal limits • Left TM is inflamed and opacified

More Related