Podcast
Questions and Answers
Which of the following is a clinical feature of cholesteatoma?
Which of the following is a clinical feature of cholesteatoma?
- Painful otorrhea
- Conductive hearing loss (correct)
- Asymptomatic
- Normal otoscopic findings
What is the typical otoscopic finding in primary acquired cholesteatoma?
What is the typical otoscopic finding in primary acquired cholesteatoma?
- Normal tympanic membrane
- Brown, irregular mass
- White or pearly mass behind the tympanic membrane
- Retraction pocket with squamous epithelium and debris (correct)
What imaging modality is recommended to assess the degree of bone destruction in cholesteatoma?
What imaging modality is recommended to assess the degree of bone destruction in cholesteatoma?
- X-ray of the mastoid process
- CT scan of the temporal bone (correct)
- MRI of the temporal bone
- Ultrasound of the ear
When is MRI indicated in the evaluation of cholesteatoma?
When is MRI indicated in the evaluation of cholesteatoma?
What is the recommended treatment for cholesteatoma?
What is the recommended treatment for cholesteatoma?
Which of the following is a potential complication of cholesteatoma?
Which of the following is a potential complication of cholesteatoma?
What is the surgical procedure used to excise cholesteatoma and create a dry ear?
What is the surgical procedure used to excise cholesteatoma and create a dry ear?
Which of the following is NOT a diagnostic modality for cholesteatoma?
Which of the following is NOT a diagnostic modality for cholesteatoma?
What is the typical color of a congenital or secondary acquired cholesteatoma mass behind the tympanic membrane?
What is the typical color of a congenital or secondary acquired cholesteatoma mass behind the tympanic membrane?
What is the potential consequence of erosion of the temporal bone in cholesteatoma?
What is the potential consequence of erosion of the temporal bone in cholesteatoma?
Which of the following is the cardinal symptom of cholesteatoma?
Which of the following is the cardinal symptom of cholesteatoma?
What is the most common cause of acquired cholesteatoma?
What is the most common cause of acquired cholesteatoma?
What is the potential consequence of untreated cholesteatoma?
What is the potential consequence of untreated cholesteatoma?
Which of the following is a diagnostic procedure for cholesteatoma?
Which of the following is a diagnostic procedure for cholesteatoma?
When is surgery indicated for cholesteatoma?
When is surgery indicated for cholesteatoma?
What is the recommended surgical treatment for cholesteatoma?
What is the recommended surgical treatment for cholesteatoma?
Which imaging modality is recommended to assess the degree of bone destruction in cholesteatoma?
Which imaging modality is recommended to assess the degree of bone destruction in cholesteatoma?
When is MRI indicated in the evaluation of cholesteatoma?
When is MRI indicated in the evaluation of cholesteatoma?
Which of the following is a clinical feature of cholesteatoma?
Which of the following is a clinical feature of cholesteatoma?
What is the typical color of a cholesteatoma mass behind the tympanic membrane?
What is the typical color of a cholesteatoma mass behind the tympanic membrane?
Which structure can be destroyed by the inflammatory response triggered by the presence of abnormal epithelium in cholesteatoma?
Which structure can be destroyed by the inflammatory response triggered by the presence of abnormal epithelium in cholesteatoma?
What are the cardinal symptoms of cholesteatoma?
What are the cardinal symptoms of cholesteatoma?
Which diagnostic procedures are important in the evaluation of cholesteatoma?
Which diagnostic procedures are important in the evaluation of cholesteatoma?
What can happen if a cholesteatoma is left untreated?
What can happen if a cholesteatoma is left untreated?
What is the surgical treatment for cholesteatoma?
What is the surgical treatment for cholesteatoma?
What is the pathophysiology of acquired cholesteatoma?
What is the pathophysiology of acquired cholesteatoma?
What is the difference between congenital and acquired cholesteatoma?
What is the difference between congenital and acquired cholesteatoma?
What triggers an inflammatory response in cholesteatoma?
What triggers an inflammatory response in cholesteatoma?
What is the most common cause of acquired cholesteatoma?
What is the most common cause of acquired cholesteatoma?
When is surgery indicated for cholesteatoma?
When is surgery indicated for cholesteatoma?
Cholesteatoma may be ______
Cholesteatoma may be ______
Painless ______ from the affected ear
Painless ______ from the affected ear
Conductive hearing ______ occurs late in primary cholesteatoma
Conductive hearing ______ occurs late in primary cholesteatoma
Primary acquired cholesteatoma presents as a retraction pocket with ______ mass
Primary acquired cholesteatoma presents as a retraction pocket with ______ mass
Congenital and secondary acquired cholesteatoma presents as a ______ mass behind the tympanic membrane
Congenital and secondary acquired cholesteatoma presents as a ______ mass behind the tympanic membrane
Imaging is used to assess the degree of ______ in cholesteatoma
Imaging is used to assess the degree of ______ in cholesteatoma
MRI is indicated if ______ extension is suspected
MRI is indicated if ______ extension is suspected
Surgery is always ______ for cholesteatoma
Surgery is always ______ for cholesteatoma
Excision of the cholesteatoma is performed using canal wall-up or canal wall-down ______
Excision of the cholesteatoma is performed using canal wall-up or canal wall-down ______
Complications of cholesteatoma include destruction of ear ______
Complications of cholesteatoma include destruction of ear ______
Cholesteatoma is a special form of chronic otitis media in which keratinizing squamous ______ grows from the tympanic membrane or the auditory canal into the middle ear mucosa or mastoid
Cholesteatoma is a special form of chronic otitis media in which keratinizing squamous ______ grows from the tympanic membrane or the auditory canal into the middle ear mucosa or mastoid
The presence of abnormal ______ in an abnormal location triggers an inflammatory response that can destroy surrounding structures such as the ossicles
The presence of abnormal ______ in an abnormal location triggers an inflammatory response that can destroy surrounding structures such as the ossicles
Cholesteatomas may be ______ or acquired later in life
Cholesteatomas may be ______ or acquired later in life
Acquired cholesteatomas are usually associated with chronic middle ear ______
Acquired cholesteatomas are usually associated with chronic middle ear ______
Cardinal symptoms are painless otorrhea and progressive ______ loss
Cardinal symptoms are painless otorrhea and progressive ______ loss
Important diagnostic procedures include mastoid process x-rays, temporal bone CT scans, and ______ tests
Important diagnostic procedures include mastoid process x-rays, temporal bone CT scans, and ______ tests
Left untreated, erosion of the surrounding bone by a cholesteatoma can lead to facial nerve palsy, extradural abscess, and/or sigmoid ______ thrombosis
Left untreated, erosion of the surrounding bone by a cholesteatoma can lead to facial nerve palsy, extradural abscess, and/or sigmoid ______ thrombosis
Therefore, even if a cholesteatoma is asymptomatic, ______ is always indicated
Therefore, even if a cholesteatoma is asymptomatic, ______ is always indicated
Surgical treatment involves tympanomastoidectomy to excise the cholesteatoma, followed by repair of the damaged middle ear ______
Surgical treatment involves tympanomastoidectomy to excise the cholesteatoma, followed by repair of the damaged middle ear ______
Congenital cholesteatoma is present at birth and consists of embryonic nests of ______ cells that remain in the middle ear
Congenital cholesteatoma is present at birth and consists of embryonic nests of ______ cells that remain in the middle ear
Acquired cholesteatoma can be primary, which is caused by eustachian tube dysfunction, or ______, which occurs when epithelium migrates inwards through a perforation in the tympanic membrane
Acquired cholesteatoma can be primary, which is caused by eustachian tube dysfunction, or ______, which occurs when epithelium migrates inwards through a perforation in the tympanic membrane
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