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Cholesteatoma Clinical

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Attic active Cholesteatoma, wet, with glue in middle ear, L ear.
Attic cholesteatoma, L ear.
Attic cholesteatoma, atelectatic drum, eroded incus, drum retracted on to stapes, Pt B.
Attic erosion, deep dry attic retraction, postero-superior retraction pocket, exposed chorda tympani nerve, and incus, L ear.
Attic dry retraction and erosion, pocket margins inflammed, dry keratin, intermittent discharge, R ear.
Attic cholesteatoma, atelectatic drum, eroded incus, drum retracted on to stapes.
Attic erosion, left ear,partially exposed malleus head and incus body.
Attic erosion, wet, cholesteatoma L ear, patient F.
Attic erosion, wet, cholesteatoma R ear, patient F.
Attic-cholesteatoma.
Cholesteatoma 'pearl', in TM, after tympanoplasty, L ear.
Attic, active wet cholesteatoma, and middle ear effusion, L ear.
Cholesteatoma and granulation
Cholesteatoma arising from pocket in anterior part of TM, left ear.
Cholesteatoma eroding through form attic into canal.
Cholesteatoma in middle ear, subtotal perforation of atelectasis, keratin on promontory, R ear.
Cholesteatoma of ear canal floor
Cholesteatoma pearl in TM, residual, previous tympanoplasty, L ear.
Cholesteatoma, 'pearl' in left ear, posterior drum, previous tympanoplasty.
Cholesteatoma, aural polyp, postaural chronic abscess and discharge, R ear, young boy.
Cholesteatoma, from retraction of anterior TM, extending medial to posterior TM, r ear, cotton threads by patient attempting self cleaning.
Cholesteatoma, large, filling L mastoid, bony cavity has been eroded by cholesteatoma, seen via postaural incision.
Cholesteatoma, large cavity eroded by the sac, lined with squamous epithelium, seen via postaural incision, L ear.
Cholesteatoma, total perforation
Cholesteatoma, very extensive, left ear, eroded tegmen and cortex.
Cholesteatoma, wet keratin debris filling deep canal, granular inflammed skin bleeds on touch, L ear.
Cholesteatoma,perforated poster-superior retrcation, keratin in Oval window, granular wet middle ear mucosa, L ear.
Large cholesteatoma eroding through mastoid cortex, after removing debris, showing erosion by diisease.
Large cholesteatoma eroding canal wall, mastoid cortex, posterior fossa dural plate.
Cholesteatoma
Large cholesteatoma eroding mastoid bone and posterior canal wall, R ear.
Postaural abscess, CSOM, cholesteatoma, young woman, R ear.
Large cholesteatoma eroding through mastoid cortex.
Residual cholesteatoma, 8 y after MRM, large sac eroding cortex and sinus plate, no intracranial extension,15 y girl, MRI scan.
Posterior pocket contains granuloma and active wet cholesteatoma, L ear.
Residual cholesteatoma, 8 y after MRM, large sac eroding cortex and sinus plate, no intracranial extension,15 y girl, coronal CT scan.
Residual cholesteatoma, 8 y after MRM, large sac eroding cortex and sinus plate, no intracranial extension,15 y girl,1.
Residual cholesteatoma, 8 y after MRM, large sac eroding cortex and sinus plate, no intracranial extension,15 y girl,axial CT scan.
Subtotal perforation, with cholesteatoma.
Surgical sequence 10, defocused KTP laser painting to attic after cholest sac removed.
Surgical sequence 1, Atticotomy, R ear, Removing incus by short process, cholesteatoma lies deep to incus.
Surgical sequence 2, cholesteatoma in attic, after inus removal, R ear atticotomy.
Surgical sequence 3, cholesteatoma sac medial to malleus head in attic, R ear
Surgical sequence 4, cholest sac goes medial to malleus head in attic, r ear.
Surgical sequence 6, neck of malleus ready for division att neck, after chol sac cleared, to further check anterior attic that cholesteatoma has been cleared, r ear.
Surgical sequence 5, Atticotomy, R ear, incus removed, malleus head visible.
Surgical sequence 7, Malleus head removed, incus removed, sac cleared R ear, chorda intact.
Surgical sequence 8, Atticotomy, after sac, incus, malleus head removed, oval window exposed, no stapes, tensor cut.
Surgical sequence 9, KTP laser painting of attic after incus, sac, malleus head tensor removed., r ear.

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