Prolonged antibiotics for up to 4 weeks
Decongestant and antihistamine administration
Corticosteroid treatment for 2 weeks
Image shows:Attic Cholesteatoma.
• Presence of keratinizing squamous epithelium in the middle ear or mastoid – cholesteatoma
• Cholesteatoma is skin in wrong place
• Most common site of origin – posterior epitympanum.It is seen in Atticoantral type of CSOM.
Signs and symptoms
- The majority (98%) of patients with cholesteatoma have ear discharge or hearing loss or both in the affected ear.
Theories of Cholesteatoma
- Presence of congenital cell rests
- Wittmaack’s theory – invagination of TM from the attic or posterior-superior par tof pars tensa in the
- form of retraction pockets
- Ruedi’s theory – basal cell hyperplasia
- Habermann’s theory – epithelial invasion
- Sade’s theory – metaplasia
Surgery is the mainstay of treatment:Tympanomastoidectomy