Today got a chance to operate a young rajpoot patient having otalgia,ear discharge & debris in rt ear, refractory to all sort of ENT treatment with history of currettage of ear canal. PTA showed absolute normal thresholds. Luckily I took enaural incision. Flakes and debris eroding EAC were cleared n then cavity was saucerized. Ant overhang dealt with drillling.
MiddleEar & TM were normal. Skin of canal & lining of cavity preserved. Defect leading to clean antrum was closed with tragal cartilage piece with perichondrium. External auditory canal (EAC) cholesteatoma (EACC) is a rare entity occur lateral to the tympanic membrane; they may also represent cases of keratosis obturans,which has similar characteristics. There are still no reliable consistent symptoms or clinical signs that can differentiate between the two conditions; however, the…
