Cholesteatoma. Case History Ossicular Reconstruction Cholesteatoma Case 1 12 yr old male Left...
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Transcript of Cholesteatoma. Case History Ossicular Reconstruction Cholesteatoma Case 1 12 yr old male Left...
Case History Ossicular Reconstruction Cholesteatoma Case 1 12 yr old male Left Congenital Cholesteatoma Surgical Reconstruction of ossicular
chain and tympanoplasty
Cholesteatoma Case 2
58 y/o female Hx of bilateral cholesteatoma Hx of multiple bilateral ossicular chain
reconstructions, stapedectomy and tympanoplasty
Hx of mastoidectomy
Cholesteatoma Case 3
57 y/o male Hx of Left tympanoplasty,
mastoidectomy, and ossicular chain reconstruction
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
Case 5 History
62 year old female Recent right tympanoplasty and
ossicular chain prosthesis placement 6 months prior
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
Otoscopy
Pnematic otoscopy reveals grade 4 atelactasis left posterosuperior tympanic membrane with no evidence of cholesteatoma
Right TM is intact
Case 7 History
13 year old female History of left cholesteatoma Underwent tympanoplasty, modified
radical mastoidectomy and ossicular chain reconstruction 3 years prior
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
Case 8 History
65 year old female History of right traumatic perforation
with subsequent cholesteatoma Right tympanoplasty, bony canaloplasty
and ossicular chain reconstruction
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
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
Case 10 History
69 yr old male current Right TM perf Hx of left TM perf with
canaloplasty/tympanoplasty performed on the left ear
Synthetic ossicular chain reconstruction with stapedectomy in Aug 2005
Case 11 History
65 y/o male Motor Vehicle Accident (MVA) Sept ‘01 Right temporal bone fracture with right
sided paralysis of face
Case 12 History
14 y/o female Fell off the back of a pickup truck going
approx 30 mph Left temporal bone fracture she currently has bleeding from the left
ear canal
Otoscopy
Skin laceration on skin of left external auditory canal
Left TM seems intact but there is evidence of hemotympanum
Case 13 history
21 year old female History of left cholesteatoma with
tympanoplasty, ossicular chain reconstruction and tympanomastoidectomy three months prior
Otoscopy
Right is within normal limits Left shows no retraction pockets and
seems to be healing well
Case 14 History
76 year old female Four months post left canaloplasty,
tympanoplast and ossicular chain reconstruction