Phillip Chang1, Samuel Kim. 1. St.Vincents Hospital and Sydney Children's Hospital, Shepherd Centre for Hearing Impaired Children, University of Sydney, New South Wales. pchang@stvincents.com.au
Abstract
BACKGROUND: Cholesteatoma represents the most common destructive disease of the ear, affecting the adult and paediatric population alike. OBJECTIVE: This article describes the pathogenesis of cholesteatoma and provides a guide to the examination and management of this common disease. DISCUSSION: Despite advances in surgery and imaging, the diagnosis of cholesteatoma is often delayed. A favourable outcome following treatment of a cholesteatoma rests in part on an early diagnosis, and in reducing significant complications and associated morbidity. Primary care physicians should maintain a high index of suspicion for the presence of cholesteatoma, awareness of otoscopic findings and promptly refer for investigations and management.
BACKGROUND:Cholesteatoma represents the most common destructive disease of the ear, affecting the adult and paediatric population alike. OBJECTIVE: This article describes the pathogenesis of cholesteatoma and provides a guide to the examination and management of this common disease. DISCUSSION: Despite advances in surgery and imaging, the diagnosis of cholesteatoma is often delayed. A favourable outcome following treatment of a cholesteatoma rests in part on an early diagnosis, and in reducing significant complications and associated morbidity. Primary care physicians should maintain a high index of suspicion for the presence of cholesteatoma, awareness of otoscopic findings and promptly refer for investigations and management.
Authors: Joshua Gafford; Michael Freeman; Loris Fichera; Jack Noble; Robert Labadie; Robert J Webster Journal: Ann Biomed Eng Date: 2020-05-26 Impact factor: 3.934