Attic active Cholesteatoma, wet, with glue in middle ear, L ear.jpeg

Attic cholesteatoma, L ear.jpg

Attic cholesteatoma, atelectatic drum, eroded incus, drum retracted on to stapes, Pt B.jpg

Attic cholesteatoma, atelectatic drum, eroded incus, drum retracted on to stapes.jpg

Attic dry retraction and erosion, pocket margins inflammed, dry keratin, intermittent discharge, R ear.jpeg

Attic erosion, deep dry attic retraction, postero-superior retraction pocket, exposed chorda tympani nerve, and incus, L ear.jpeg

Attic erosion, left ear,partially exposed malleus head and incus body.jpg

Attic erosion, wet, cholesteatoma L ear, patient F.jpg

Attic erosion, wet, cholesteatoma R ear, patient F.jpg

Attic, active wet cholesteatoma, and middle ear effusion, L ear.jpg

Attic-cholesteatoma.jpg

Cholesteatoma 'pearl', in TM, after tympanoplasty, L ear.jpeg

Cholesteatoma and granulation

Cholesteatoma arising from pocket in anterior part of TM, left ear.jpeg

Cholesteatoma eroding through form attic into canal.jpg

Cholesteatoma in middle ear, subtotal perforation of atelectasis, keratin on promontory, R ear.jpeg

Cholesteatoma of ear canal floor

Cholesteatoma pearl in TM, residual, previous tympanoplasty, L ear.jpeg

Cholesteatoma, 'pearl' in left ear, posterior drum, previous tympanoplasty.jpeg

Cholesteatoma, aural polyp, postaural chronic abscess and discharge, R ear, young boy.jpg

Cholesteatoma, from retraction of anterior TM, extending medial to posterior TM, r ear, cotton threads by patient attempting self cleaning.jpeg

Cholesteatoma, large cavity eroded by the sac, lined with squamous epithelium, seen via postaural incision, L ear.jpeg

Cholesteatoma, large, filling L mastoid, bony cavity has been eroded by cholesteatoma, seen via postaural incision.jpeg

Cholesteatoma, total perforation

Cholesteatoma, very extensive, left ear, eroded tegmen and cortex.jpg

Cholesteatoma, wet keratin debris filling deep canal, granular inflammed skin bleeds on touch, L ear.jpeg

Cholesteatoma,perforated poster-superior retrcation, keratin in Oval window, granular wet middle ear mucosa, L ear.jpeg

Cholesteatoma.jpeg

Large cholesteatoma eroding canal wall, mastoid cortex, posterior fossa dural plate.jpg

Large cholesteatoma eroding mastoid bone and posterior canal wall, R ear.jpg

Large cholesteatoma eroding through mastoid cortex, after removing debris, showing erosion by diisease.jpg

Large cholesteatoma eroding through mastoid cortex.jpg

Postaural abscess, CSOM, cholesteatoma, young woman, R ear.jpg

Posterior pocket contains granuloma and active wet cholesteatoma, L ear.jpeg

Residual cholesteatoma, 8 y after MRM, large sac eroding cortex and sinus plate, no intracranial extension,15 y girl, MRI scan.jpg

Residual cholesteatoma, 8 y after MRM, large sac eroding cortex and sinus plate, no intracranial extension,15 y girl, coronal CT scan.jpg

Residual cholesteatoma, 8 y after MRM, large sac eroding cortex and sinus plate, no intracranial extension,15 y girl,1.jpg

Residual cholesteatoma, 8 y after MRM, large sac eroding cortex and sinus plate, no intracranial extension,15 y girl,axial CT scan.jpg

Subtotal perforation, with cholesteatoma.png

Surgical sequence 1, Atticotomy, R ear, Removing incus by short process, cholesteatoma lies deep to incus.jpg

Surgical sequence 10, defocused KTP laser painting to attic after cholest sac removed.jpg

Surgical sequence 2, cholesteatoma in attic, after inus removal, R ear atticotomy.jpg

Surgical sequence 3, cholesteatoma sac medial to malleus head in attic, R ear .jpg

Surgical sequence 4, cholest sac goes medial to malleus head in attic, r ear.jpg

Surgical sequence 5, Atticotomy, R ear, incus removed, malleus head visible.jpg

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.jpg

Surgical sequence 7, Malleus head removed, incus removed, sac cleared R ear, chorda intact.jpg

Surgical sequence 8, Atticotomy, after sac, incus, malleus head removed, oval window exposed, no stapes, tensor cut.jpg

Surgical sequence 9, KTP laser painting of attic after incus, sac, malleus head tensor removed., r ear.jpg