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Image Based Question – 73343

Question

Identify the condition of the given image:

A. Acquired cholesteatoma

B. Congenital cholesteatoma

C. Rupture of tympanic membrane

D. Keratosis obturans

 

Show Answer

Correct Answer » D

Explanation

Answer. D. Keratosis obturans

Given image is Keratosis obturans, otoscope view.

  • This is a rare condition of the ear canal with a generalised failure of migration of the normal canal skin.
  • The skin accumulates and the underlying bone is resorbed.
  • Here there is a deep widening of the ear canal with exposure of the circular annulus at the edge of the tympanic membrane (eardrum, centre).
  • The jugular vein (purple) can be seen through the remaining tissue on the floor of the ear canal.
  • The eardrum is relatively unaffected here.
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